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New Hampshire rates for HCPCS Q5101

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

Facilitymedian $1 · 10th–90th $1–$5250%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $407.38 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.55 / $1.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.91 / $1.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $0.69 / $0.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.58 / $0.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.71