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Minnesota rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $29.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $43.48 / $55.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $29.92 / $41.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.27 / $31.61 / $152.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $36.75 / $44.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $120.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $33.71 / $39.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $29.92 / $65.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $33.31 / $76.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $55.56