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Utah rates for HCPCS Q5101

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

Facilitymedian $661 · 10th–90th $1$9330%20%40%10th90th$661Professionalmedian $0 · 10th–90th $0$10%50%90th$0$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $812.83 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.74 / $1.07
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.35 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.39