go back

Arizona rates for HCPCS Q5113

Injection, trastuzumab-pkrb, biosimilar, (Herzuma), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $112.20 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $151.36 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $87.10 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $74.13