go back

Hawaii rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $70.06 / $95.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $86.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $105.09 / $105.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $83.24 / $104.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $73.42 / $104.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $69.37 / $92.85