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West Virginia rates for HCPCS Q5103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $4,677.35 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $30.20 / $30.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.99 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $85.11 / $85.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $95.50