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Montana rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.12 / $2,382.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $28.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.93 / $30.21 / $39.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85