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Illinois rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $524.81 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $134.90 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $3.98 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $1.95 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.46 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.45