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Nevada 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 / $59.38 / $3,674.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $41.63 / $7,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.74 / $31.84 / $96.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $27.99 / $30.32
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $27.12 / $392.55
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.23 / $383.23 / $383.23
Hometown Health
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 / $33.75