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Trastuzumab-pkrb (Herzuma) Injection

New York rates for HCPCS Q5113

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

Rates data updated July 2026.

How much does Herzuma (trastuzumab) cost?

$63.10per 10 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $63.10 for each 10 mg of this drug. The price depends on where it is billed: about $63.10 from a physician practice, and about $77.62 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
$63.10
At a hospital outpatient department
$77.62

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$63.10$56.23 to $77.62
FacilityA hospital or hospital-owned outpatient department$77.62$58.88 to $112

How much rates vary

Facilitymedian $78 · 10th to 90th $56 to $158Professionalmedian $63 · 10th to 90th $54 to $102
$100.0$1.0K$10.0Kfacility $78professional $63

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
$79.43
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$51.29
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$57.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$177.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$93.33
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$120.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
Univera
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18

Where New York sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $63.10 · 1st of 51
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.