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Wisconsin rates for HCPCS Q5102

Inj., Infliximab Biosimilar

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.38 / $196.44 / $278.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.51 / $84.20 / $102.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.51 / $75.51 / $133.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.60 / $393.60 / $393.60