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West 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 / $4,073.80 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $43.65 / $43.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.20 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $125.89 / $125.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
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 / $43.65 / $87.10