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Trastuzumab-pkrb (Herzuma) Injection

South Dakota rates for HCPCS Q5113

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

Rates data updated July 2026.

How much does Herzuma (trastuzumab) cost?

$58.88per 10 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $58.88 for each 10 mg of this drug. The price depends on where it is billed: about $58.88 from a physician practice, and about $83.18 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
$58.88
At a hospital outpatient department
$83.18

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$58.88$56.23 to $70.79
FacilityA hospital or hospital-owned outpatient department$83.18$56.23 to $83.18

How much rates vary

Facilitymedian $83 · 10th to 90th $56 to $132Professionalmedian $59 · 10th to 90th $56 to $87
$50.0$100.0$200.0facility $83professional $59

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
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$75.86
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23

Where South Dakota 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.

South Dakota $58.88 · 4th 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.