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Indiana rates for HCPCS Q5125

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

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.5$1.0$2.0

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
$1.12 / $1.51 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.51 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.48 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.56 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.87 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.68