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Alaska rates for HCPCS Q5125

Injection, filgrastim-ayow, biosimilar, (Releuko), 1 mcg

Facilitymedian $0 · 10th–90th $0–$10%50%90th$0Professionalmedian $1 · 10th–90th $0–$20%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.19 / $2.19 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.63
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $1.02
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.62 / $1.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.63 / $0.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $1.02