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Nebraska rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.88 / $312.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $114.21 / $233.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.50 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.53 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.42 / $0.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.70 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.57 / $0.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.54 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.55