go back

Pennsylvania rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $70.01 / $90.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $33.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.10 / $28.23 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $26.51 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $26.51 / $43.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.12 / $96.12 / $96.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $37.46 / $41.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $46.68 / $90.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.00 / $45.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $41.79 / $144.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $26.51 / $26.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.75 / $49.75 / $57.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $49.75 / $57.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $39.77