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Arkansas rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.31 / $37.31 / $63.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.39 / $37.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.20 / $32.20 / $32.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $32.20 / $32.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $20.41 / $51.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $51.00