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Utah rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.74 / $32.29 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $24.92 / $29.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $45.62 / $90.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $27.85 / $31.00