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Washington, DC rates for HCPCS Q5108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.13 / $290.68 / $10,995.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.81 / $202.12 / $388.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $99.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.26 / $84.26 / $99.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $112.02 / $145.60