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Washington, DC rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $87.10 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $77.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.90 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $27.54 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $44.67