go back

West Virginia rates for HCPCS Q5101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1,041.68 / $1,108.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.51 / $1.12