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New York rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.70 / $440.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $180.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.46 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.71 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.61
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $1.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51