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Alabama rates for HCPCS Q5111

Injection, pegfilgrastim-cbqv (Udenyca), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $127.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $136.04 / $136.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.57 / $459.72 / $7,637.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $106.33 / $116.96