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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
$27.00 / $78.16 / $95.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $40.92 / $78.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $24.65 / $27.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $22.95 / $27.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $27.00 / $43.93