go back

Nebraska rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $60.26 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $158.49 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $33.88 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $38.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $81.28 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.20 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $64.57