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Connecticut rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.08 / $72.90 / $1,945.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $28.08 / $28.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $41.05 / $83.44
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
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $27.59 / $32.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $27.00 / $83.18