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Utah rates for HCPCS Q5112

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

Facilitymedian $31 · 10th–90th $31–$630%50%90th$31Professionalmedian $28 · 10th–90th $27–$600%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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $34.67 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $35.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $52.48 / $125.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $41.69
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.20 / $30.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $30.20