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Delaware rates for HCPCS Q5108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,926.82 / $7,926.82 / $7,926.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $99.12 / $3,511.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.08 / $148.69 / $306.87