go back

Hawaii rates for HCPCS Q5125

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.51 / $0.54