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Maryland rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.18 / $2,422.13 / $6,637.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $37.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $20.39 / $20.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $24.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $36.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82