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Illinois rates for HCPCS Q5121

Injection Infliximab-Axxq Biosimilar (Avsola) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $54.41 / $109.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $39.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $123.08 / $609.91
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $57.00 / $152.85
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $26.53 / $26.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $46.36