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Delaware rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.90 / $79.90 / $13,240.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.08 / $31.08
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 / $48.00 / $58.80