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Ohio rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $1.03 / $1,108.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $240.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.80 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.91
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.46 / $0.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.46 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.97 / $1.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.47 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.65