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New York rates for HCPCS Q5116

Injection, trastuzumab-qyyp, biosimilar, (Trazimera), 10 mg

Facilitymedian $14 · 10th–90th $8$5,0120%10%20%10th90th$14Professionalmedian $13 · 10th–90th $8$430%10%20%10th90th$13$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$8.13 / $13.49 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $58.88
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.76 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.77 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $18.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $31.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $31.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $34.67 / $97.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $83.18
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $26.92 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $15.14 / $40.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $31.62