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Utah rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $10,232.93 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $41.69 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $100.00 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $29.51 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $42.66