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Kansas rates for HCPCS Q5111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.21 / $16,391.24 / $25,553.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $110.62 / $164.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.58 / $174.29 / $463.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $114.95 / $114.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.32 / $106.33 / $458.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.04 / $190.46 / $417.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $151.44 / $1,358.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $112.71 / $133.02