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Massachusetts rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.81 / $688.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.47 / $0.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $1.23 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.59 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.96
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.25 / $189.32 / $288.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.95
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.97 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.95