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Pennsylvania rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $6,918.31 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $8,709.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $32.36 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
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
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $52.48 / $52.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $77.62 / $251.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $6,606.93 / $17,378.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $6,309.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $33.88 / $56.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $56.23
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 / $64.57