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Arizona rates for HCPCS Q5112

Injection, trastuzumab-dttb, biosimilar, (Ontruzant), 10 mg

Facilitymedian $49 · 10th–90th $22–$3390%10%10th90th$49Professionalmedian $28 · 10th–90th $27–$680%50%10th90th$28$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $48.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $100.00 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $30.20