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Minnesota rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $31.09 / $74.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $1,002.00 / $7,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.62 / $23.10 / $100.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $18.70 / $19.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $21.17 / $42.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $17.32 / $20.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $20.36 / $20.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $16.20 / $20.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $57.26 / $190.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.31 / $41.31 / $74.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $72.68