go back

Florida rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.23 / $59.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $29.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $27.00 / $27.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $31.09 / $31.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $47.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $27.00