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New Hampshire rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $27.85 / $13,481.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.84 / $47.33 / $121.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $27.85 / $27.85
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $45.23 / $85.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $29.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.43 / $100.61 / $3,000.00