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Oklahoma rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $33.58 / $57.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $33.58 / $34.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.58 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $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 / $33.67 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $34.68