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Washington, DC rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $75.02 / $9,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $29.94 / $57.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $20.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $17.35 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.56 / $34.68 / $56.42