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New Mexico rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.65 / $46.65 / $46.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $33.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.71 / $274.62 / $445.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $45.21 / $46.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $73.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $53.94 / $87.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $65.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $54.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $28.10