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Massachusetts 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 / $0.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $1.02 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.49 / $1.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.56