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Oregon 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 / $0.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $108.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.40 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.30 / $0.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.71 / $0.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.43 / $0.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.34 / $0.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.75 / $1.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.33