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Maryland rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.18 / $999.49 / $8,816.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $4,882.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $19.68 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $23.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $102.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $40.09 / $42.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55