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Washington, DC rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $1.28 / $1.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.56 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.56