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North Dakota rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $35.42 / $35.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $31.39 / $4,882.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.23 / $20.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $20.20 / $20.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.36 / $20.36 / $23.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $16.36 / $20.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $31.18 / $122.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.31 / $41.31 / $44.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $40.09 / $43.54