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Indiana rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $1.12 / $1.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.76 / $1.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.41 / $0.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.48
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 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.52