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Nebraska rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $53.53 / $61.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $44.47 / $14,480.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $29.94 / $31.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $32.50 / $34.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $27.85 / $31.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $59.14 / $354.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $26.50 / $31.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.93 / $39.25 / $58.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.42 / $31.80 / $175.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $33.14