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North Dakota 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 / $37.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $31.09 / $31.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $20.71 / $20.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $20.68 / $20.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $20.78 / $23.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.34 / $25.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.56 / $31.18 / $94.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $39.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $34.68 / $37.65