go back

North Carolina rates for HCPCS Q5113

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

Facilitymedian $74 · 10th–90th $30–$4570%10%20%10th90th$74Professionalmedian $56 · 10th–90th $55–$780%50%10th90th$56$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $109.65 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $54.95 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $102.33 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $87.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $56.23 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $123.03 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $77.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $295.12