Infliximab-abda injection (Renflexis biosimilar), 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

Renflexis

Payers reporting HCPCS Q5104

Payer pricing summary

Low

$25

Average

$665

Median

$563

High

$2.6k

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +16 other terms	31	$28	$28	$1	3%	60–96	$25 – $31
2	Anthem fee schedule · outpatient · +25 other terms	148	$40	$147	$427	291%	35–62	$24 – $5.0k
3	Aetna fee schedule · outpatient · +29 other terms	461	$40	$353	$1.3k	372%	27–36	$1 – $24.4k
4	Humana fee schedule · outpatient · +24 other terms	384	$27	$311	$883	284%	27–36	$0 – $12.2k
5	Cigna fee schedule · outpatient · +25 other terms	421	$47	$300	$839	280%	26	$19 – $6.7k
6	First Health fee schedule · outpatient · +15 other terms	29	$2.1k	$2.3k	$1.9k	82%	26	$25 – $7.7k
7	Caresource fee schedule · outpatient · +17 other terms	81	$34	$74	$125	169%	12	$1 – $1.7k
8	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	433	$68	$213	$425	200%	10–100	$0 – $5.8k
9	UnitedHealthcare fee schedule · outpatient · +30 other terms	682	$46	$166	$570	343%	1–10	$0 – $11.0k
10	Sanford Health Plan fee schedule · outpatient · +10 other terms	23	$30	$373	$882	236%	1–10	$27 – $3.0k
11	Molina fee schedule · outpatient · +23 other terms	147	$41	$279	$580	208%	—	$1 – $4.6k
12	WellCare fee schedule · outpatient · +17 other terms	129	$28	$58	$133	228%	—	$25 – $863
13	Kaiser fee schedule · outpatient · +21 other terms	94	$55	$461	$1.2k	270%	—	$1 – $8.1k
14	MultiPlan fee schedule · outpatient · +15 other terms	93	$2.4k	$2.7k	$3.1k	114%	—	$25 – $12.2k
15	Ambetter facility · fee schedule · outpatient · +17 other terms	85	$48	$58	$61	105%	—	$26 – $492
16	Medica fee schedule · outpatient · +19 other terms	69	$1.7k	$993	$1.7k	171%	—	$26 – $5.1k
17	Devoted fee schedule · outpatient · +13 other terms	62	$27	$55	$206	373%	—	$25 – $1.8k
18	Highmark facility · fee schedule · outpatient · +14 other terms	59	$45	$101	$95	95%	—	$25 – $444
19	Optum fee schedule · outpatient · +19 other terms	39	$27	$730	$893	122%	—	$24 – $2.8k
20	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	35	$28	$88	$302	342%	—	$24 – $2.1k
21	Oscar facility · fee schedule · outpatient · +15 other terms	35	$33	$35	$8	21%	—	$27 – $50
22	Medicare fee schedule · outpatient · +14 other terms	32	$27	$32	$33	102%	—	$26 – $278
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	27	$46	$47	$19	41%	—	$25 – $76
24	Clover facility · fee schedule · outpatient · +5 other terms	27	$28	$28	$1	3%	—	$27 – $30
25	Healthpartners fee schedule · outpatient · +10 other terms	27	$31	$37	$40	109%	—	$27 – $310

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