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West Virginia rates for HCPCS Q5119

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $30.93 / $3,333.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $28.12 / $30.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $27.85 / $41.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $64.56 / $64.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $27.85 / $73.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $36.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.19 / $142.19 / $142.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.73 / $43.73 / $43.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $31.00 / $86.02