go back

Florida rates for HCPCS Q5113

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $131.83 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $54.95 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $69.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $54.95 / $54.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $74.13 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $58.88 / $77.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $58.88