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New Hampshire rates for HCPCS Q5109

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $19.68 / $19.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00