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New Mexico rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $93.33 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $457.09 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $52.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $41.69