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Wyoming rates for HCPCS Q5123

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $29.92 / $29.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.77 / $30.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $86.02 / $86.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $27.08 / $31.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.51 / $26.51 / $26.51