go back

New Hampshire rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.46 / $519.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.83 / $2.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.46 / $0.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.75 / $1.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.14 / $3,375.00