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Maryland rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $3,932.75 / $9,324.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $30.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $24.06 / $26.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $81.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $28.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $26.26 / $26.26