20 September 2020 - Michael Costanzo, a Colorado farmer diagnosed with multiple sclerosis in 2016, has a well-honed ritual: every six months, he takes an IV infusion of a medicine, Rituxan, to manage his disease, which has no cure. 

Then he figures out how to manage the bill, which costs thousands of dollars.

For a time, the routine held steady: The price billed to his health insurance for one infusion would cost $6,201 to $6,841. His insurance covered most of it, and he paid the rest out of pocket.

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