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Minnesota rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $180.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.65 / $0.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.61 / $1.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.94 / $1.37
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.32 / $2.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.88