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Alaska rates for HCPCS Q5123

Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $20.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.30 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.30 / $67.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $120.23 / $190.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $102.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $33.11 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $31.62 / $58.88