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South Dakota rates for HCPCS Q5125

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

Facilitymedian $0 · 10th–90th $0$00%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%10th90th$0$0.5$1.0$2.0

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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.43 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.69 / $1.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.46 / $0.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.45
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.38