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Georgia rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $27.00 / $6,724.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.27 / $49.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $43.96 / $99.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $53.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $24.65 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $167.00 / $272.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.55 / $76.59 / $76.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $47.25