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Connecticut rates for HCPCS Q5120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $81.86 / $3,312.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $31.54 / $31.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.22 / $46.09 / $90.88
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
$30.32 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.05 / $22.05 / $25.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.29 / $30.32 / $361.15