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Colorado rates for HCPCS Q5120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $55.98 / $3,771.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.62 / $33.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $53.75 / $97.02
Anthem 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 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $40.98 / $370.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $33.36 / $49.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32