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Virginia rates for HCPCS Q5125

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

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%50%90th$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
$645.65 / $645.65 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.65 / $1.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.63 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.58 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.34 / $0.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.52
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.39 / $0.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.39 / $0.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.52 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.55