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Nebraska rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $52.36 / $63.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $50.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.51 / $30.01 / $30.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $32.50 / $36.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $41.92 / $55.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $46.38 / $92.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $33.09 / $86.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.70 / $47.81 / $86.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $41.92 / $65.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $41.90 / $54.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $31.55