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New Jersey rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $1,488.24 / $3,217.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $28.51 / $36.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.65 / $1,641.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $15.34 / $15.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $49.13