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Alaska rates for HCPCS Q5119

Injection, rituximab-pvvr, biosimilar, (RUXIENCE), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.81 / $132.29 / $9,131.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.93 / $2,614.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.06 / $74.06 / $74.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $89.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $120.43 / $189.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $120.43 / $283.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $30.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $41.78 / $83.55