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Indiana rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.12 / $53.86 / $120.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.12 / $28.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $55.68 / $73.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $26.50 / $37.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $27.85 / $41.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $32.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $27.85 / $158.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $61.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $31.00 / $55.70