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Idaho rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.00 / $1,776.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.50 / $446.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.46
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
$0.50 / $0.60 / $0.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.38 / $0.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51