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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
$31.09 / $119.23 / $6,544.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $5,975.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.03 / $229.05 / $952.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $105.99 / $201.60
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
$25.99 / $25.99 / $25.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $53.60