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Texas rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $50.12 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $204.17 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $23.99 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $26.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $38.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $30.20 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $22.39 / $85.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $22.39 / $23.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $37.15