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Nevada rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.05 / $47.60 / $62.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.26 / $2,265.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $28.35 / $33.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $25.05 / $27.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.26 / $27.00 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $28.35 / $90.41
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.04 / $30.04 / $30.04
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $27.00