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Illinois rates for HCPCS Q5114

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

Facilitymedian $79 · 10th–90th $44–$7,4130%10%10th90th$79Professionalmedian $47 · 10th–90th $37–$7,0790%20%40%10th90th$47$20.0$100.0$500.0$2.0K$10.0K

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
$46.77 / $97.72 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $7,413.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $186.21 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $51.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $75.86 / $234.42
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $54.95