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New Mexico 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 / $43.64 / $43.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.62 / $1,060.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.60 / $502.71 / $1,738.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.06 / $80.06 / $80.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $30.32 / $327.13
Providence
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 / $30.32 / $30.32