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Vermont rates for HCPCS Q5121

Injection Infliximab-Axxq Biosimilar (Avsola) 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $34.53 / $53.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $20.94 / $34.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $20.94 / $34.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $34.68 / $53.35