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Massachusetts rates for HCPCS Q5125

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

Facilitymedian $0 · 10th–90th $0–$10%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$1.29 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.40 / $2.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.79 / $1.07
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.34 / $0.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.58 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.46 / $6,918.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.79 / $1.07
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.34 / $0.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.71 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.36 / $0.55