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Ohio rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.63 / $92.74 / $16,420.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.12 / $246.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.07 / $44.84 / $79.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $52.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $27.85 / $42.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $27.85 / $37.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $115.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.22 / $82.07 / $220.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $115.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.15 / $34.81 / $38.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $31.00 / $39.13