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Kansas rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.53 / $6,059.33 / $6,300.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.71 / $43.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $44.97 / $298.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $43.65 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $57.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $58.80