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Missouri rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $116.99 / $8,820.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.40 / $33.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $47.35 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $34.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $27.85 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $75.95 / $354.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $26.50 / $33.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $24.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.13 / $42.47