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Filgrastim-aafi (Nivestym) Injection

Virginia rates for HCPCS Q5110

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

Rates data updated October 2026.

How much does Nivestym (filgrastim-aafi) cost?

$0.32per mcg

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $0.32 for each mcg of this drug. The price depends on where it is billed: about $0.32 from a physician practice, and about $0.63 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mcg. Enter the amount given to see what insurers have agreed to pay for it.

mcg
In a doctor's office or clinic
$0.32
At a hospital outpatient department
$0.63

The same drug, in the same amount, costs 95% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.32$0.31 to $0.32
FacilityA hospital or hospital-owned outpatient department$0.63$0.34 to $0.78

How much rates vary

Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1facility $1professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.32
Median
$0.34
Typical High
$0.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.32
Median
$0.33
Typical High
$0.34
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.28
Median
$0.65
Typical High
$0.98
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.32
Typical High
$0.32
CareFirst
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.27
Typical High
$0.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.40
Median
$0.60
Typical High
$0.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.32
Median
$0.32
Typical High
$0.32
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$0.27
Median
$0.34
Typical High
$0.87
Medcost
Setting
Facility
Modifier
None
Typical Low
$0.28
Median
$0.28
Typical High
$1.15
Sentara
Setting
Facility
Modifier
None
Typical Low
$0.33
Median
$0.78
Typical High
$0.83
Sentara
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.78
Typical High
$0.83
United
Setting
Facility
Modifier
None
Typical Low
$0.32
Median
$0.32
Typical High
$0.32
United
Setting
Professional
Modifier
None
Typical Low
$0.28
Median
$0.30
Typical High
$0.36
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.16
Median
$0.17
Typical High
$0.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.06
Median
$0.07
Typical High
$0.07

Where Virginia sits

The same service costs 2.8 times more in Texas than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 37th of 51

$0.32

TX $0.78RI $0.28

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.