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Wisconsin rates for HCPCS Q5102

Inj., infliximab biosimilar

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $194.98 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $134.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $398.11 / $398.11