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Florida 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 / $55.98 / $2,158.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $33.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $30.32 / $30.32
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Florida Blue
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 / $38.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $30.32