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Alaska rates for HCPCS Q5121

Injection, infliximab-axxq, biosimilar, (AVSOLA), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.41 / $57.41 / $202.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.49 / $57.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.27 / $54.27 / $54.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $65.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.92 / $84.00 / $132.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.04 / $84.00 / $198.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $22.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $52.02 / $69.95