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Vermont rates for HCPCS Q5123

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

Facilitymedian $25 · 10th–90th $18–$250%50%10th$25Professionalmedian $20 · 10th–90th $20–$220%50%90th$20$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $74.13