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Minnesota 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 / $74.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $178.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $38.86 / $113.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $20.89 / $25.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.15 / $24.32 / $66.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $25.43 / $25.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $20.78 / $21.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $23.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $52.69 / $96.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $51.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $62.87