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Trastuzumab-dkst (Ogivri) Injection

Wisconsin rates for HCPCS Q5114

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

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $41$1700%10%20%10th90th$49Professionalmedian $37 · 10th–90th $35$950%50%10th90th$37$20.0$50.0$100.0$200.0$500.0

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
$37.15
Median
$107.15
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$36.31
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$69.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$46.77
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$54.95
Network Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$93.33
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$46.77
Quartz
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$64.57
Typical High
$131.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$109.65
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$75.86
Typical High
$173.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$39.81
Typical High
$47.86