go back

Ohio rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $4,073.80 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $48.98 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $134.90
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $31.62 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $42.66
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $52.48 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $47.86