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Oklahoma rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $33.67 / $4,732.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $33.58 / $34.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.35 / $97.72 / $153.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $17.64 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.68 / $35.35 / $168.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.18 / $41.31 / $41.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $41.31