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Iowa rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.87 / $148.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $384.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.83 / $2.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.40 / $1.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.54 / $0.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.45 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.47 / $0.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37