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New Jersey rates for HCPCS Q5114

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

Facilitymedian $2,042 · 10th–90th $66–$3,9810%10%10th90th$2,042Professionalmedian $42 · 10th–90th $37–$4,2660%20%40%10th90th$42$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
$74.13 / $2,041.74 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $63.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $64.57