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North Carolina rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $10,715.19 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $46.77 / $10,964.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $51.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $48.98 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $102.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $47.86 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $57.54 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $44.67 / $63.10
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74