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Trastuzumab-pkrb (Herzuma) Injection

Rhode Island rates for HCPCS Q5113

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

Rates data updated October 2026.

How much does Herzuma (trastuzumab) cost?

$56.23per 10 mg

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $56.23 for each 10 mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $56.23 from a hospital or other facility.

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
$56.23
At a hospital outpatient department
$56.23

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$54.95 to $57.54
FacilityA hospital or hospital-owned outpatient department$56.23$56.23 to $70.79

How much rates vary

Facilitymedian $56 · 10th to 90th $55 to $74Professionalmedian $56 · 10th to 90th $55 to $58
$100facility $56professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$74.13
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$70.79
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$58.88

Where Rhode Island sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 18th of 51

$56.23

AK $75.86NH $54.95

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.