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Hawaii rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $31.39 / $5,714.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $28.95 / $28.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $24.49 / $28.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $34.68 / $52.02