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Louisiana rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $33.94 / $13,490.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $31.09 / $32.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $52.65 / $61.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.79 / $16.79 / $17.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.91 / $1,031.91 / $1,031.91
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $83.75