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Kentucky 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 / $45.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $34.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $31.84 / $54.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.00 / $27.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $29.70 / $43.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $28.35 / $41.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $76.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $51.75 / $56.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $27.00 / $27.00