go back

Kentucky rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.65
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
$0.42 / $0.44 / $0.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.42