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Utah rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.76 / $33.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $43.39 / $54.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $33.93 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.23 / $94.47 / $120.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.16 / $35.94 / $37.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51