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Wisconsin rates for HCPCS Q5101

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

Facilitymedian $525 · 10th–90th $1–$1,6600%10%20%10th90th$525Professionalmedian $1 · 10th–90th $0–$2400%20%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $933.25 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.76 / $0.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.69 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.47 / $0.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.41 / $0.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.37 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.44 / $1.17
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.39 / $0.51