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South Carolina rates for HCPCS Q5103

Injection Infliximab-Dyyb Biosimilar (Inflectra) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $9,936.15 / $23,484.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $32.64 / $39.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $124.90 / $221.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $21.21 / $96.52
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $35.90 / $113.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $71.00 / $71.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $41.31