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Alaska rates for HCPCS Q5110

Injection, filgrastim-aafi, biosimilar, (Nivestym), 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $1.23 / $1.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $1.23 / $2.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.45 / $0.90