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North Carolina rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $113.48 / $9,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.97 / $113.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $36.04 / $57.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $23.26 / $23.26
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 / $86.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $33.14 / $94.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $32.68 / $32.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $41.15 / $43.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $29.52 / $36.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $86.02 / $354.50