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Massachusetts rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $47.25 / $11,776.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $28.08 / $37.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.70 / $72.36 / $222.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $76.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $34.45 / $73.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $40.13 / $47.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $75.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.86 / $344.86 / $344.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.41 / $90.41 / $222.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $76.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $76.84