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Maine rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $194.40 / $3,440.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.56 / $1.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.14 / $432.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.12