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Mississippi rates for HCPCS Q5120

Injection Pegfilgrastim-Bmez (Ziextenzo) Biosimilar 0.5 Mg (Desc Revised 04/01/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.84 / $36.39 / $16,016.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $31.84 / $36.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.29 / $90.29 / $90.29
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.93 / $40.02