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Idaho rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $30.48 / $12,404.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.35 / $34.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $27.85
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
$30.63 / $36.90 / $159.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $34.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $28.88 / $71.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.94 / $33.40 / $33.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $31.00