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Arkansas rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.80 / $34.40 / $37.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.77 / $33.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $46.82 / $46.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.05 / $46.82 / $46.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $26.51 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $26.51 / $26.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $33.93