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Nebraska rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $64.57 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $2,691.53 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $27.54 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $87.10 / $234.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $24.55 / $24.55
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $23.99 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.81 / $60.26