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Oregon rates for HCPCS Q5113

Injection Trastuzumab-Pkrb Biosimilar (Herzuma) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.48 / $77.48 / $154.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $72.17 / $95.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $119.09 / $147.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $76.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.05 / $170.44 / $206.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $77.48 / $146.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $76.30 / $90.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.08 / $86.10 / $208.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.23 / $69.37 / $119.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $72.53 / $89.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.26 / $64.44 / $144.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $83.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $69.37 / $79.78