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Washington, DC rates for HCPCS Q5120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $106.36 / $7,568.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $30.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $30.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $25.77 / $30.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $32.14 / $44.53