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Vermont rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.38 / $0.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.49 / $0.71