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Tennessee rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.08 / $64.54 / $5,191.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $32.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $218.60 / $218.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $26.25 / $26.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $81.78