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Ohio rates for HCPCS Q5125

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

Facilitymedian $1 · 10th–90th $0–$10%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$0.5$1.0$2.0$5.0

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
$1.05 / $1.15 / $1.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $2.40 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.60 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.38 / $0.65
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.50 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.26 / $0.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.42 / $0.52
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.49 / $0.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.91 / $0.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.45