go back

Oregon rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $29.92 / $59.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $36.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $55.78 / $66.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $26.51 / $31.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.76 / $69.00 / $105.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $29.92 / $94.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $30.49 / $38.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.02 / $29.92 / $55.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $37.72 / $86.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $48.31 / $59.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.84 / $84.70 / $183.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $31.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $31.81