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Nationwide rates for HCPCS Q5120

Injection Pegfilgrastim-Bmez (Ziextenzo) Biosimilar 0.5 Mg (Desc Revised 04/01/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $59.38 / $5,839.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.93 / $36.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $51.54 / $96.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.14 / $39.42