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Washington rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.63 / $53.00 / $9,248.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.63 / $38.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $32.72 / $73.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $30.64 / $86.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $23.59 / $27.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $28.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.01 / $33.13 / $83.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $36.79 / $71.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $27.15 / $86.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $30.64 / $78.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $30.64 / $30.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.61 / $58.61 / $58.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $33.42