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Indiana rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.40 / $57.03 / $144.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.39 / $31.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $40.82 / $54.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $20.89 / $29.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $30.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $23.47
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 / $58.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $48.00