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Oklahoma rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $54.95 / $30,902.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $147.91
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 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $35.48 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $47.86
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