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Kentucky rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.26 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.31