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Illinois rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $3,311.31 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $199.53 / $977.24
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $95.50 / $239.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $48.98