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Michigan rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.59 / $735.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $180.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.91 / $1.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.69 / $333.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.46 / $1.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.42 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.59