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Kansas rates for HCPCS Q5120

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.96 / $5,634.86 / $20,585.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.93 / $43.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.32 / $40.34 / $377.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $33.90 / $33.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $39.18 / $392.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $29.67 / $50.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.14 / $57.38