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Massachusetts rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.80 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.75