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Washington rates for HCPCS Q5125

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

Facilitymedian $0 · 10th–90th $0–$10%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.2$1.0$5.0$20.0

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
$2.40 / $2.40 / $2.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.65 / $1.26
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.38 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.32 / $0.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.41 / $0.72
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.54 / $1.51
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.48 / $0.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.66 / $1.32
Regence BlueShield
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 / $0.71 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.36 / $0.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.42