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Arkansas rates for HCPCS Q5120

Injection, pegfilgrastim-bmez (ZIEXTENZO), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $36.39 / $330.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.62 / $36.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.12 / $27.12 / $27.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.94 / $27.12 / $27.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $30.32 / $287.27
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 / $333.67