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Nebraska rates for HCPCS Q5104

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

Facilitymedian $40 · 10th–90th $27–$560%10%10th90th$40Professionalmedian $4,074 · 10th–90th $27–$5,1290%20%10th90th$4,074$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $4,570.88 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $47.86 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $27.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $26.92 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $27.54 / $41.69