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Arizona rates for HCPCS Q5114

Injection, Trastuzumab-dkst, biosimilar, (Ogivri), 10 mg

Facilitymedian $91 · 10th–90th $45–$6,6070%10%10th90th$91Professionalmedian $41 · 10th–90th $37–$7,0790%20%40%10th90th$41$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $131.83 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $7,413.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $154.88 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $41.69 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $48.98 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $47.86