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Alaska rates for HCPCS Q5115

Injection, rituximab-abbs, biosimilar, (Truxima), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $194.98 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $56.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $97.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $141.25 / $223.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $79.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $32.36 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $47.86 / $128.82