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New Mexico rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $87.10 / $44,668.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $501.19 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $47.86 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $63.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $42.66