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Missouri rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.02 / $4,806.83 / $9,896.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.71 / $154.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $33.97 / $71.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $24.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $19.98 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.13 / $89.36 / $218.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $41.31 / $47.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.09 / $49.03