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Trastuzumab-pkrb (Herzuma) Injection

Idaho rates for HCPCS Q5113

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

Rates data updated July 2026.

How much does Herzuma (trastuzumab) cost?

$58.88per 10 mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $58.88 for each 10 mg of this drug. The price depends on where it is billed: about $58.88 from a physician practice, and about $61.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$58.88
At a hospital outpatient department
$61.66

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$56.23 to $67.61
FacilityA hospital or hospital-owned outpatient department$61.66$56.23 to $79.43

How much rates vary

Facilitymedian $62 · 10th to 90th $55 to $93Professionalmedian $59 · 10th to 90th $56 to $74
$50$100facility $62professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$60.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$100.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$87.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$61.66
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$64.57
Typical High
$70.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$61.66

Where Idaho sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 6th of 51

$58.88

NY $63.10AZ $56.23

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.