go back

Maine rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $6,918.31 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $34.67 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $42.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $75.86 / $11,748.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $31.62 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $69.18