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Idaho rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.30
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
$0.33 / $0.40 / $0.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.51 / $0.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.33