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Hawaii rates for HCPCS Q5104

Injection Infliximab-Abda Biosimilar (Renflexis) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $28.09 / $2,265.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.34 / $38.34 / $38.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $32.40 / $37.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $31.52 / $40.50