go back

California rates for HCPCS Q5103

Injection, infliximab-dyyb, biosimilar, (Inflectra), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.40 / $68.40 / $9,242.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $53.57 / $7,200.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $31.93 / $71.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $23.61 / $104.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.30 / $92.60 / $113.55
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $21.69 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $23.99 / $50.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $218.60 / $218.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $19.98 / $32.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $43.24
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $21.99 / $33.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $103.15