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Hawaii rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $36.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $55.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $31.81 / $39.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.25 / $44.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $47.45 / $49.75