go back

Utah rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $526.09 / $936.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.50 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51