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Oregon rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.68 / $0.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.38 / $0.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.54 / $0.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.41 / $0.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.41 / $0.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.48 / $0.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $0.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.12 / $2.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.42