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Wyoming rates for HCPCS Q5111

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.04 / $136.04 / $11,582.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $107.40 / $123.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.88 / $417.50 / $417.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.32 / $100.32 / $100.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $130.41 / $150.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.33 / $106.33 / $106.33