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Alabama rates for HCPCS Q5108

Injection, pegfilgrastim-jmdb (Fulphila), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.12 / $99.13 / $2,087.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $99.13 / $110.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.85 / $6,283.58 / $8,453.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $171.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $105.08