go back

Washington, DC rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.01 / $7,579.87 / $20,023.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $83.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.48 / $88.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $63.71 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $86.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $69.37 / $78.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $77.22 / $82.55