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Kansas rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $1,865.28 / $7,495.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.71 / $43.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.72 / $44.97 / $181.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.68 / $47.44 / $113.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.31 / $41.31 / $70.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $68.15