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Indiana rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $67.61 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $6,456.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $36.31 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $46.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $36.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $53.70