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Rhode Island rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.16 / $86.16 / $86.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $27.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.09 / $29.92 / $73.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $29.51