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Maryland rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $414.93 / $2,023.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36