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Washington rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.78 / $7,539.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $384.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.46 / $0.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.47 / $1.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.54 / $0.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.41 / $1.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.38 / $0.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.55