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Michigan rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.42 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.70 / $1.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.64 / $1.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.49 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.48