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Virginia rates for HCPCS Q5125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.86 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.80 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.64 / $0.97
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 / $0.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.46 / $0.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.49