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Massachusetts rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $31.09 / $5,332.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $32.33 / $37.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.45 / $54.70 / $257.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $34.68 / $51.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $26.04 / $55.52
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $28.46 / $33.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $42.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $257.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $52.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $58.81