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Iowa rates for HCPCS Q5125

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

Facilitymedian $0 · 10th–90th $0–$00%50%10th$0Professionalmedian $2 · 10th–90th $0–$5250%20%10th90th$2$0.5$2.0$10.0$50.0$200.0

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
$1.26 / $1.26 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $467.74 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.42 / $0.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $1.58 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.65 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.45 / $0.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.37 / $0.45
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.38