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Pennsylvania rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $62.01 / $9,172.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.97 / $3,576.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $29.65 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $28.36 / $28.36
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.53 / $81.72 / $283.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $65.05 / $9,172.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.77 / $32.02 / $2,384.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $27.85 / $27.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.68 / $32.68 / $37.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $32.68 / $37.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $26.50 / $32.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.64 / $48.00