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Arizona rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.20 / $53.64 / $79.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $36.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $70.01 / $132.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $28.63 / $31.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $40.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $36.20 / $69.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $29.92 / $70.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $29.51