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Rhode Island rates for HCPCS Q5121

Injection Infliximab-Axxq Biosimilar (Avsola) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.04 / $5,242.26 / $18,612.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.39 / $32.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $20.89 / $51.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $34.68