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Rhode Island rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $4,730.16 / $9,059.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.39 / $32.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $19.68 / $96.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $19.98 / $19.98
Cigna
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 / $40.09