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Massachusetts rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $37.34 / $13,535.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.96 / $31.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.64 / $74.64 / $354.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.52 / $73.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.88 / $35.54 / $75.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.59 / $27.85 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.94 / $35.94 / $42.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $57.84
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.17 / $2,193.51 / $20,164.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $86.02 / $354.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.52 / $73.12
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.22 / $46.22 / $63.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.52 / $73.12