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Idaho rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $29.92 / $34.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $27.83 / $36.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $33.14 / $47.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.16 / $33.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $37.28 / $64.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $60.56 / $115.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $31.81 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $28.10