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Virginia rates for HCPCS Q5110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.63 / $1.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.36 / $0.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.39