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Illinois rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $48.74 / $3,538.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.12 / $43.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.12 / $129.61 / $642.29
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $80.28 / $192.23
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.21 / $36.21 / $36.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.45 / $37.22