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Arizona rates for HCPCS Q5109

Injection, infliximab-qbtx, biosimilar, (Ixifi), 10 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $81.28 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $58.88 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00