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New Mexico rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $11,536.80 / $11,536.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $178.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $28.46 / $38.42
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $21.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $34.68