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New Hampshire rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.54 / $1.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.49 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.83 / $1.05