go back

Alaska rates for HCPCS Q5101

Injection, filgrastim-sndz, biosimilar, (Zarxio), 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $2.38 / $536.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $128.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.54 / $2.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.54 / $3.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.69 / $1.38