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Mississippi rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.11 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $50.12