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Iowa rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $60.26 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $3,801.89 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.02 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $93.33 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $41.69 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $50.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51