go back

Colorado rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.04 / $43.66 / $1,904.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $31.39 / $34.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.14 / $35.11 / $65.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $40.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $30.93 / $65.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $22.45 / $33.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $34.68