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Vermont rates for HCPCS Q5119

Injection Rituximab-Pvvr Biosimilar (Ruxience) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.93 / $45.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $23.01 / $38.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $23.01 / $38.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $29.52 / $73.12