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Nebraska rates for HCPCS Q5102

Inj., infliximab biosimilar

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $81.75 / $102.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.60 / $393.60 / $393.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.23 / $125.38 / $125.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $125.38 / $165.32