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Minnesota rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.91 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.72 / $0.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.71 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.78 / $1.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.32 / $2.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.76