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North Carolina rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.59 / $506.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.59 / $0.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.67 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.59 / $0.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00