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Pennsylvania rates for HCPCS Q5110

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

Facilitymedian $1 · 10th–90th $0–$7940%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$1070%20%40%10th90th$1$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $263.03 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $100.00 / $107.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.28 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.98 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.49 / $0.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $1.55
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.35 / $0.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.35 / $0.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.31 / $0.51