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Oregon rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $3,472.00 / $8,525.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $32.34 / $6,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.88 / $13.88 / $31.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $20.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $42.71 / $50.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $28.59 / $124.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $21.99 / $41.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $22.21 / $59.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $12.62 / $31.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $17.41 / $23.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $33.26 / $70.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $46.10