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Iowa rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $58.30 / $98.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.93 / $15,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.39 / $28.39 / $28.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $29.93 / $31.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $52.47 / $154.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $30.67 / $86.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $29.15 / $39.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.93 / $37.97 / $62.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $31.80 / $62.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.51 / $28.69 / $33.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $26.50 / $26.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $26.50 / $26.50