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Indiana rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.65 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.60 / $0.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.51