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Illinois rates for HCPCS Q5123

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

Facilitymedian $36 · 10th–90th $21–$550%20%40%10th90th$36Professionalmedian $21 · 10th–90th $20–$720%50%10th90th$21$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $169.82 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $36.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $169.82 / $281.84
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.44 / $37.15