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Pennsylvania rates for HCPCS Q5110

Injection Filgrastim-Aafi Biosimiliar (Nevestym) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.70 / $316.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $108.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.32 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $1.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.72 / $316.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $2.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.55