go back

New Jersey rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $100.74 / $270.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $81.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $54.12 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $69.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.75 / $73.26 / $102.90
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.91 / $167.92 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $69.56 / $69.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $66.76 / $66.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.30 / $85.01