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New York rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $416.87 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $1.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.39 / $1.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.32 / $0.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.36 / $0.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.46