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Washington rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $7,585.78 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $6,025.60
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 / $31.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.11 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $57.54 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $46.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $50.12 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
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 / $44.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.90