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Kentucky rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $32.36 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $28.18 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $23.99 / $23.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $32.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67