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North Dakota rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.63 / $1.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.55