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New Jersey rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $44.67 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.18 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.90 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $8,709.64 / $21,379.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $39.81 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $31.62