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Vermont rates for HCPCS Q5103

Injection Infliximab-Dyyb Biosimilar (Inflectra) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $34.53 / $53.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $17.64 / $27.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $17.64 / $27.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $40.09 / $96.52