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Virginia rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $55.34 / $71.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.08 / $32.64 / $50.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $43.07 / $69.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.94 / $34.07 / $51.42
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $24.49 / $60.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $49.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $24.70 / $53.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $24.70 / $53.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.64 / $34.68 / $43.52