go back

Iowa rates for HCPCS Q5111

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

Facilitymedian $162 · 10th–90th $107$2570%20%40%10th90th$162Professionalmedian $162 · 10th–90th $162$5500%50%90th$162$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $323.59 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $204.17
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $489.78 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $416.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $151.36 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $165.96 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $177.83 / $691.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $162.18 / $194.98
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $128.82 / $162.18