go back

Delaware rates for HCPCS Q5113

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $178.28 / $8,731.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $87.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.58 / $75.58 / $75.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $74.17 / $152.61