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Vermont rates for HCPCS Q5115

Injection Rituximab-Abbs Biosimilar 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $32.63 / $53.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.70 / $34.79 / $57.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.70 / $34.79 / $57.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.42 / $45.10 / $65.45