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Pennsylvania rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $258.72 / $1,076.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $384.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.49 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.97 / $3.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $258.72 / $1,076.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.52 / $240.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.84