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Indiana rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.27 / $65.23 / $113.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.26 / $27.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $54.00 / $71.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $25.05 / $35.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $40.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $31.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $104.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $74.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $45.90