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Hawaii rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $32.34 / $7,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $16.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $23.99 / $27.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $40.09 / $60.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $15.91 / $64.98