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Iowa rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.90 / $304.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.51 / $0.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.69 / $2.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.64 / $0.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.72 / $1.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.51 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.45
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41