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Massachusetts 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 / $53.06 / $7,742.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $31.54 / $33.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $100.45 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.14 / $333.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $38.69 / $82.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.71 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $55.98 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $35.47 / $41.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $62.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.55 / $392.55 / $1,527.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.14 / $333.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.14 / $333.67