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Arizona rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.76 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $1.02 / $1.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.40 / $2.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.64 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.41