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Washington rates for HCPCS Q5110

Injection Filgrastim-Aafi Biosimiliar (Nevestym) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.54 / $474.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.52 / $0.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.42 / $0.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.36