go back

Missouri rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $2,511.89 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $32.36 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.20 / $36.31
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 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $89.13 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $42.66 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $42.66 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $56.23