go back

Montana rates for HCPCS Q5110

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

Facilitymedian $0 · 10th–90th $0–$46,7740%20%40%10th90th$0Professionalmedian $2 · 10th–90th $0–$1070%20%40%10th90th$2$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $100.00 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.34 / $0.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.34 / $0.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.30 / $0.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28