go back

Montana rates for HCPCS Q5103

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

Facilitymedian $28 · 10th–90th $12–$13,1830%20%10th90th$28Professionalmedian $63 · 10th–90th $30–$6,0260%20%10th90th$63$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $8,709.64 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $6,025.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $131.83 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.18 / $81.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.18 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81