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Arizona rates for HCPCS Q5120

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

Facilitymedian $209 · 10th–90th $45–$3,9810%10%10th90th$209Professionalmedian $123 · 10th–90th $120–$7,9430%50%10th90th$123$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $380.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $102.33 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $229.09 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $33.88 / $389.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $40.74 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $120.23 / $131.83