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Virginia rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $831.76 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $60.26 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $50.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $48.98 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $102.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $47.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $44.67 / $87.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $44.67 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.20 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $50.12