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Texas rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.51 / $0.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.90 / $3.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.31 / $0.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.41