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California rates for HCPCS Q5113

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

Facilitymedian $83 · 10th–90th $58$1860%10%20%10th90th$83Professionalmedian $56 · 10th–90th $55$1320%50%10th90th$56$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
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$125.89
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$104.71
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$112.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$114.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$87.10
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$83.18