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South Dakota rates for HCPCS Q5119

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

Facilitymedian $28 · 10th–90th $13–$280%20%10th90th$28Professionalmedian $13 · 10th–90th $13–$170%50%10th90th$13$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $16.22
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $23.44
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $27.54