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New Hampshire rates for HCPCS Q5123

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

Facilitymedian $29 · 10th–90th $22–$440%10%20%10th90th$29Professionalmedian $20 · 10th–90th $20–$250%50%10th90th$20$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $74.13
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $72.44 / $79.43