go back

Colorado rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $52.35 / $11,727.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.26 / $37.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.29 / $46.44 / $86.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $24.65 / $49.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.76 / $36.49 / $58.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $29.70 / $44.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00