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Arizona rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $6,165.95 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $158.49 / $15,848.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $83.18 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $57.54 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $48.98 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.20 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $42.66