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Massachusetts rates for HCPCS Q5115

Injection Rituximab-Abbs Biosimilar 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $57.99 / $18,209.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $30.55 / $16,520.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.32 / $78.73 / $344.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $45.10 / $86.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.52 / $37.49 / $79.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.38 / $31.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.80 / $62.36 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.94 / $49.94 / $58.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $119.89
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.81 / $945.38 / $8,624.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.47 / $101.47 / $344.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $45.10 / $86.25
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.22 / $53.17 / $84.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $45.10 / $86.25