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West Virginia rates for HCPCS Q5121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $5,888.44 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $30.90 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.99 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $87.10 / $87.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $54.95