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Wyoming rates for HCPCS Q5115

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $42.66