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Minnesota 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 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $108.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.55 / $1.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.84 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.76 / $0.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.51 / $0.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.56