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Illinois rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $1,905.46 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $741.31 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $257.04 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $114.82 / $229.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $43.65