Infliximab-dyyb (Inflectra) injection, per 10 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inflectra

Payers reporting HCPCS Q5103

Payer pricing summary

Low

$14

Average

$779

Median

$563

High

$3.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +30 other terms	720	$32	$161	$676	420%	1,193–1,229	$0 – $14.1k
2	Caresource fee schedule · outpatient · +17 other terms	93	$20	$76	$167	221%	460–469	$1 – $2.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	434	$66	$205	$386	188%	156–192	$0 – $5.5k
4	Ucare professional · fee schedule · outpatient · +18 other terms	14	$2.9k	$2.2k	$1.1k	49%	156	$12 – $3.1k
5	Cigna fee schedule · outpatient · +24 other terms	422	$28	$258	$902	350%	32–50	$9 – $8.6k
6	Healthpartners fee schedule · outpatient · +11 other terms	26	$14	$17	$21	121%	14	$13 – $156
7	Aetna fee schedule · outpatient · +28 other terms	475	$29	$347	$1.6k	452%	11	$1 – $30.6k
8	Medica fee schedule · outpatient · +20 other terms	58	$1.9k	$468	$985	211%	3–30	$18 – $3.8k
9	Anthem fee schedule · outpatient · +25 other terms	165	$30	$90	$308	342%	1–10	$12 – $3.7k
10	Molina fee schedule · outpatient · +25 other terms	159	$28	$314	$674	215%	1–10	$1 – $5.9k
11	Humana fee schedule · outpatient · +24 other terms	403	$20	$246	$983	400%	—	$0 – $15.3k
12	WellCare fee schedule · outpatient · +17 other terms	145	$20	$63	$183	291%	—	$11 – $1.2k
13	Kaiser fee schedule · outpatient · +21 other terms	87	$52	$404	$1.3k	323%	—	$16 – $10.3k
14	MultiPlan fee schedule · outpatient · +17 other terms	85	$2.7k	$3.3k	$4.2k	125%	—	$19 – $15.4k
15	Ambetter fee schedule · outpatient · +16 other terms	72	$36	$420	$1.2k	278%	—	$11 – $4.2k
16	Highmark facility · fee schedule · outpatient · +18 other terms	61	$36	$105	$119	113%	—	$13 – $558
17	Devoted fee schedule · outpatient · +13 other terms	60	$20	$54	$271	498%	—	$12 – $2.2k
18	Optum fee schedule · outpatient · +20 other terms	50	$20	$477	$856	180%	—	$18 – $3.1k
19	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	37	$21	$110	$318	289%	—	$20 – $2.1k
20	Medicare fee schedule · outpatient · +15 other terms	35	$20	$21	$29	141%	—	$14 – $242
21	Oscar facility · fee schedule · outpatient · +17 other terms	35	$29	$28	$6	20%	—	$21 – $39
22	Regence facility · fee schedule · both · +18 other terms	35	$405	$351	$174	50%	—	$26 – $1.0k
23	Carefirst facility · fee schedule · both · +9 other terms	33	$405	$408	$149	36%	—	$155 – $1.0k
24	Excellus facility · fee schedule · both · +12 other terms	33	$405	$386	$131	34%	—	$155 – $1.0k
25	Premera facility · fee schedule · both · +10 other terms	33	$405	$402	$136	34%	—	$155 – $1.0k

Page 1 of 3 · 65 payers