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Wyoming rates for HCPCS Q5104

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $4,073.80 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54