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North Dakota rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $45.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.26 / $30.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.19 / $28.33 / $28.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $28.29 / $28.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.53 / $27.53 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $28.39 / $35.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $40.50 / $90.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $28.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.00 / $30.24