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New Jersey rates for HCPCS Q5125

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

Facilitymedian $2 · 10th–90th $0–$18,1970%10%20%10th90th$2Professionalmedian $0 · 10th–90th $0–$00%50%10th$0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.15 / $2.19 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.37 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.42 / $0.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.52 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.43