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Michigan rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $35.49 / $7,592.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $28.12 / $32.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.60 / $51.53 / $97.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.57 / $23.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.05 / $51.05 / $51.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $47.78 / $7,592.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $27.85 / $33.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.68 / $30.47 / $32.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $31.00 / $35.65