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Kentucky rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $31.18 / $4,827.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $39.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.63 / $23.58 / $39.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.98 / $19.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $21.99 / $31.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $20.99 / $30.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $96.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $21.16 / $47.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $40.09 / $40.09