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New Jersey 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 / $38.20 / $184.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $103.35 / $133.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.22 / $128.63 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.52 / $24.52 / $331.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $33.75 / $392.55