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Missouri rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.71 / $63.00 / $195.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $37.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $34.70 / $73.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $25.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $20.41 / $20.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $60.00 / $257.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $36.00 / $41.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $34.68 / $42.41