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California rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $380.19 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $100.00 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.35 / $0.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.36 / $1.45
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.30 / $0.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.40 / $0.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.31 / $0.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.76