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New York rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $724.44 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $1,905.46 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $42.66
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $85.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $47.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $42.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $28.18 / $114.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $50,118.72 / $75,857.76
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 / $72.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $45.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $48.98