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Montana rates for HCPCS Q5113

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

Facilitymedian $66 · 10th–90th $55–$1450%20%40%10th90th$66Professionalmedian $55 · 10th–90th $55–$780%50%90th$55$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $85.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $60.26 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $60.26 / $91.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $79.43 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $74.13