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See a sample rate comparisonHCPCS Q5101 (Zarxio) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Additional Miscellaneous Drugs |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q5101 |
| Medicare Payment Limit | $0.458  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 61314-0318-01 - ZARXIO (PF) 300 MCG/0.5 ML • 61314-0318-10 - ZARXIO (PF) 300 MCG/0.5 ML • 61314-0326-01 - ZARXIO (PF) 480 MCG/0.8 ML • 61314-0326-10 - ZARXIO (PF) 480 MCG/0.8 ML |
National average reimbursement for HCPCS Q5101 by major payers:
$1.64
$0.43
$0.44
$0.40
Compare published rates across providers.
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HCPCS Q5101
5 of 25 sample ratesHigher to lower in this preview
Todd Stinard
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.36Published ratePaul Mammarello
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.36Published rateHye Sook Chon
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.36Published rateJessica Tharp
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.21Published rateJunsung Choi
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$0.18Published rate
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See a sample payer proposalHCPCS Q5101 vs. Other Additional Miscellaneous Drugs Codes
The HCPCS Q5101 code is part of the Temporary Codes services used for Additional Miscellaneous Drugs. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q5101 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 61314-0318-01-NDC | Moderate | ZARXIO (PF) 300 MCG/0.5 ML |
| 61314-0318-10-NDC | Moderate | ZARXIO (PF) 300 MCG/0.5 ML |
| 61314-0326-01-NDC | Moderate | ZARXIO (PF) 480 MCG/0.8 ML |
| Q5101-HCPCS | Low | Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q5101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q5101 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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