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Idaho rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $7,413.10 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $30.20 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.90 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.20 / $30.20
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 / $38.02 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $43.65 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $36.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $47.86