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Utah rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $2,143.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $26.40 / $35.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $79.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $34.68