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Tennessee rates for HCPCS Q5114

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

Facilitymedian $813 · 10th–90th $38–$9,7720%10%10th90th$813Professionalmedian $38 · 10th–90th $37–$4,8980%50%10th90th$38$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
$38.02 / $812.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.02 / $5,754.40
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $53.70