go back

Nevada rates for HCPCS Q5108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.71 / $228.30 / $4,724.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $100.12 / $2,757.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.70 / $104.09 / $316.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $103.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.13 / $99.13 / $125.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $107.54 / $208.75
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.79 / $149.79 / $149.79
Hometown Health
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 / $208.75