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Arizona rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.80 / $56.53 / $83.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $32.07 / $14,480.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $96.28 / $158.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $25.66 / $177.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.86 / $41.68 / $111.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $26.50 / $29.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85