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Washington, DC rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.76 / $3,598.70 / $8,201.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $19.68 / $28.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $19.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $40.09 / $67.20