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South Carolina rates for HCPCS Q5115

Injection Rituximab-Abbs Biosimilar 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $5,326.97 / $20,685.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $30.85 / $47.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $110.07 / $200.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $31.17 / $86.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.70 / $29.38 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $37.02 / $101.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.36 / $100.36 / $100.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $45.10 / $47.37