go back

Minnesota 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 / $0.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.53 / $0.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.41 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.55 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.52 / $0.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.42 / $1.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.61 / $1.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.70