go back

Texas rates for HCPCS Q5125

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

Facilitymedian $2 · 10th–90th $1–$30%10%10th90th$2Professionalmedian $0 · 10th–90th $0–$4680%20%40%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0

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
$1.35 / $1.35 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $467.74 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.91 / $3.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.79 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.34 / $0.50
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.48 / $1.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.46 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.46