go back

Texas rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.98 / $48.81 / $20,100.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.40 / $34.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.63 / $226.85 / $448.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $17.69 / $17.69
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $39.32 / $4,459.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.91 / $1,031.91 / $1,031.91
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.55 / $218.60 / $218.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.19 / $28.87 / $90.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $19.98 / $36.36
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.33 / $2,378.46 / $11,480.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $19.98 / $48.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $19.98 / $21.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $40.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $26.99