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Massachusetts rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $40.60 / $57.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $33.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.60 / $79.13 / $162.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $27.84 / $253.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.42 / $32.54 / $63.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $43.87 / $52.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $59.84 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $47.61 / $56.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $162.40 / $162.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $253.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $73.12