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Utah rates for HCPCS Q5110

Injection Filgrastim-Aafi Biosimiliar (Nevestym) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.35 / $0.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.32 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.60 / $0.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.33