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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
$0.46 / $0.81 / $686.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.48 / $136.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $3.94 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.69 / $2.34
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
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.80