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Connecticut rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $2,360.48 / $9,739.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.33 / $32.33 / $32.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $30.39 / $61.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $20.58 / $23.39
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.91 / $656.91 / $656.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.08 / $40.09 / $104.47