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Arizona rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $1.38 / $411.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.56 / $446.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $1.32 / $2.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.36 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.44 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46