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Oklahoma rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $32.31 / $45.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.77 / $32.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $96.78 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $33.93 / $86.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.92 / $33.09 / $56.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $31.55