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North Dakota 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 / $53.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $36.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.57 / $23.69 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $23.69 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $31.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $33.71 / $42.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $39.77 / $84.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $33.81 / $253.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $33.04