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Tennessee rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $38.90 / $65.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $36.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $33.08 / $36.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.02 / $162.40 / $165.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.17 / $253.17 / $253.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $26.51 / $33.09