go back

Georgia rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $65.91 / $20,387.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $31.18 / $32.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $33.22 / $74.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $40.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $20.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $21.81 / $205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $53.06