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New York rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.28 / $31.34 / $51.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.39 / $3,357.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $16.32 / $20.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $31.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.30 / $45.30 / $47.57
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $45.30 / $45.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $53.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $31.49 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $20.99 / $35.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.10 / $37.10 / $37.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $37.10 / $37.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.12 / $23.12 / $23.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $37.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $54.34
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.10 / $37.10 / $37.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $37.10 / $37.10