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Illinois rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $46.39 / $90.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $35.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.06 / $124.87 / $837.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.06 / $49.06 / $60.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $42.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $85.17 / $242.31
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.46 / $34.46 / $34.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $46.33 / $49.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $35.11