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Indiana rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $92.76 / $207.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $31.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $53.02 / $64.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.92 / $42.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $39.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $33.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $47.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $49.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.16 / $35.40