go back

North Carolina rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $691.83 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $173.78 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.68 / $0.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.43 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.26 / $0.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.54 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11