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Mississippi rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.83 / $35.90 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $31.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.99 / $38.99 / $38.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.04 / $49.04 / $49.04
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.01 / $44.01 / $44.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $26.51 / $36.72