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Ohio rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.65 / $1.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.52 / $0.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.37 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.37