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West Virginia rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $29.92 / $32.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $30.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.51 / $26.51 / $39.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $61.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $73.12 / $73.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $29.43 / $86.02