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Maine rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.96 / $69.63 / $21,438.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.96 / $32.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.94 / $33.82 / $88.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $33.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $69.63 / $21,438.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $28.97 / $56.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $48.74