go back

Kansas rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.55 / $0.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.34 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.63 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.38 / $0.65