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Ohio rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.82 / $1.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.66 / $1.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.53 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.42 / $0.46