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Montana rates for HCPCS Q5112

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

Facilitymedian $36 · 10th–90th $28–$1290%20%10th90th$36Professionalmedian $28 · 10th–90th $27–$540%50%10th90th$28$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $109.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $109.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $31.62 / $104.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.11 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $36.31