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Massachusetts rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $3,891.11 / $9,716.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $32.33 / $7,056.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $53.57 / $218.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $40.09 / $96.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $25.51 / $54.37
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $22.88 / $26.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $66.40
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.18 / $1,219.53 / $8,947.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $113.55 / $218.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $96.52
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.99 / $35.99 / $35.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $96.52