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Louisiana rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.50 / $0.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.33
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.42