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Trastuzumab-pkrb (Herzuma) Injection

Vermont rates for HCPCS Q5113

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

Rates data updated October 2026.

How much does Herzuma (trastuzumab) cost?

$54.95per 10 mg

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $54.95 for each 10 mg of this drug. Most negotiated rates run $54.95 to $58.88.

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
$54.95

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

How much rates vary

Facilitymedian $60 · 10th to 90th $46 to $60Professionalmedian $55 · 10th to 90th $55 to $60
$50facility $60professional $55

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
$54.95
Median
$54.95
Typical High
$75.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$58.88
Typical High
$75.86

Where Vermont 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.

Vermont· 35th of 51

$54.95

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.