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Louisiana rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $37.10 / $78.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.77 / $27.85 / $32.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.89 / $63.34 / $73.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $30.59 / $31.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,971.24 / $1,971.24 / $1,971.24
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $39.19