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Nebraska rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.57 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $2.15 / $236.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.32 / $0.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.49 / $0.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.42 / $1.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.36