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Alabama rates for HCPCS Q5103

Injection Infliximab-Dyyb Biosimilar (Inflectra) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $31.08 / $31.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $34.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.89 / $2,332.31 / $3,137.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $56.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $41.31