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Minnesota 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 / $9,673.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $2,012.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.66 / $257.55 / $590.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.83 / $131.96 / $136.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.42 / $135.43 / $402.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.66 / $176.69 / $211.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.34 / $108.34 / $147.37
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $166.69 / $166.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.04 / $136.04 / $340.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $151.44 / $514.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $112.71 / $223.29