go back

Kansas rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $693.82 / $1,916.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.54 / $37.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $39.34 / $96.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.19 / $29.19 / $29.19
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $35.07 / $90.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $40.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.85 / $27.85 / $27.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $45.90