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Tennessee rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $44.39 / $2,248.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $31.09 / $32.02
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $257.50 / $257.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $51.00