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North Carolina rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.85 / $5,405.82 / $9,224.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $438.80 / $6,746.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $30.07 / $48.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $44.00 / $73.66
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 / $113.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.79 / $34.04 / $124.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $57.28 / $57.28
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,726.76 / $2,726.76 / $2,726.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $62.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $113.55 / $218.60