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Minnesota 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 / $30.32 / $10,562.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $31.23 / $43.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.95 / $346.76 / $659.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $27.99 / $333.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.46 / $38.63 / $1,004.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $31.96 / $383.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $330.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $25.16 / $348.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $27.99 / $121.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $31.16 / $53.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $33.75 / $65.47