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Arkansas rates for HCPCS Q5104

Injection, infliximab-abda, biosimilar, (Renflexis), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $32.40 / $52.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.26 / $32.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $35.50 / $35.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $35.50 / $35.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $27.00 / $42.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $76.84