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Louisiana rates for HCPCS Q5121

Injection Infliximab-Axxq Biosimilar (Avsola) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.18 / $32.74 / $57.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $31.09 / $32.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.60 / $42.12 / $49.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.73 / $21.73 / $22.16
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $59.13