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Michigan 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 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.59 / $0.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.51 / $0.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.38