go back

New York rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $2.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.42 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30