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Delaware rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.90 / $7,511.46 / $30,062.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.08 / $2,601.04
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 / $60.14 / $111.28