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Oregon rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.74 / $1,776.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $198.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.50 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.46 / $0.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.66 / $1.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.47 / $1.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.34 / $0.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.45 / $0.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.61 / $1.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51