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Connecticut rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.33 / $49.72 / $86.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.33 / $32.33 / $32.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $31.03 / $61.18
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
$20.41 / $20.41 / $20.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $34.68 / $55.20