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Vermont rates for HCPCS Q5123

Injection Rituximab-Arrx Biosimilar (Riabni) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $36.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $32.79 / $54.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $54.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $32.79 / $54.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $54.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $28.10 / $73.12