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North Carolina rates for HCPCS Q5111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $4,480.39 / $8,602.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $141.16 / $2,965.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.04 / $136.04 / $136.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.44 / $242.31 / $355.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.74 / $158.11 / $352.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.32 / $106.33 / $270.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $313.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.59 / $375.67 / $459.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.09 / $197.00 / $528.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $174.86 / $271.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $112.71 / $138.22
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.50 / $1,433.35 / $1,433.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.07 / $1,358.07 / $1,358.07