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Virginia rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.78 / $1,042.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.48 / $0.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.97 / $1.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.38 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.55 / $1.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.56 / $1.05
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.56 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.60