Filgrastim-ayow injection (Releuko), per microgram

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE

Payers reporting HCPCS Q5125

Payer pricing summary

Low

Average

$153

Median

$123

High

$693

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	632	$1	$104	$345	333%	—	$0 – $3.0k
2	Aetna fee schedule · outpatient · +23 other terms	388	$0	$178	$623	350%	—	$0 – $10.4k
3	Cigna fee schedule · outpatient · +18 other terms	366	$1	$96	$285	297%	—	$0 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	338	$1	$51	$189	372%	—	$0 – $2.0k
5	Humana fee schedule · outpatient · +21 other terms	337	$0	$71	$324	456%	—	$0 – $5.2k
6	Molina fee schedule · outpatient · +17 other terms	135	$1	$63	$154	245%	—	$0 – $1.1k
7	Anthem fee schedule · outpatient · +18 other terms	126	$1	$197	$485	246%	—	$0 – $3.1k
8	WellCare fee schedule · outpatient · +12 other terms	117	$0	$0	$0	40%	—	$0 – $1
9	Caresource fee schedule · outpatient · +12 other terms	77	$0	$1	$0	25%	—	$0 – $2
10	Kaiser fee schedule · outpatient · +15 other terms	76	$1	$228	$436	191%	—	$0 – $2.1k
11	MultiPlan fee schedule · outpatient · +15 other terms	74	$568	$900	$908	101%	—	$0 – $5.2k
12	Devoted fee schedule · outpatient · +9 other terms	63	$0	$4	$23	584%	—	$0 – $180
13	Ambetter fee schedule · outpatient · +14 other terms	52	$1	$36	$139	381%	—	$0 – $701
14	Optum fee schedule · outpatient · +13 other terms	44	$0	$132	$172	131%	—	$0 – $771
15	Medica fee schedule · outpatient · +16 other terms	40	$147	$267	$261	98%	—	$0 – $1.0k
16	Oscar facility · fee schedule · outpatient · +13 other terms	34	$0	$0	$0	24%	—	$0 – $1
17	Bcbs Tx fee schedule · outpatient	31	$3	$3	$1	48%	—	$0 – $5
18	Highmark facility · fee schedule · outpatient · +10 other terms	29	$0	$1	$0	51%	—	$0 – $1
19	Clover fee schedule · outpatient · +6 other terms	24	$0	$0	$0	14%	—	$0 – $1
20	Aetna Better Health fee schedule · outpatient · +9 other terms	23	$0	$0	$0	24%	—	$0 – $1
21	First Health fee schedule · outpatient · +15 other terms	23	$745	$567	$522	92%	—	$0 – $2.6k
22	Medicare other · both · +7 other terms	23	$0	$0	$0	6%	—	$0 – $0
23	Sanford Health Plan fee schedule · outpatient · +11 other terms	21	$0	$229	$355	155%	—	$0 – $1.0k
24	Medical Mutual facility · fee schedule · outpatient · +4 other terms	20	$0	$1	$0	57%	—	$0 – $2
25	Tricare facility · fee schedule · outpatient · +11 other terms	20	$0	$369	$419	114%	—	$0 – $1.2k

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