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North Carolina rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.82 / $475.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.36 / $0.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00