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Colorado rates for HCPCS Q5111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.21 / $272.08 / $5,084.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $164.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.96 / $186.69 / $340.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.32 / $100.32 / $233.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.71 / $136.04 / $237.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.90 / $116.97 / $160.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $112.71