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Texas rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.75 / $2,020.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $2.27 / $4.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $1.32 / $689.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.47 / $132.47 / $132.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.66 / $0.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.46 / $0.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.46 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $0.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.62