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Iowa rates for HCPCS Q5110

Injection Filgrastim-Aafi Biosimiliar (Nevestym) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.56 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.34 / $153.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.34 / $0.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.54 / $2.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.47 / $0.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.42 / $1.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28