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Georgia rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $9,406.85 / $42,871.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $46.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $32.54 / $73.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $39.32
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
$11.55 / $205.00 / $238.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,121.96 / $6,507.55 / $9,711.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $101.77