go back

Missouri rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $62.63 / $1,876.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.78 / $1.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $1.07 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.48 / $0.85