go back

Maryland 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 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28