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Wisconsin rates for HCPCS Q5113

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

Facilitymedian $85 · 10th–90th $58$12,0230%10%10th90th$85Professionalmedian $56 · 10th–90th $55$1020%20%40%10th90th$56$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$12,022.64
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$102.33
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$77.62
Network Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$75.86
Network Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$125.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$109.65
Typical High
$229.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$112.20
Typical High
$457.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$131.83
Typical High
$316.23
Security Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$74.13
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$125.89