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Oklahoma rates for HCPCS Q5120

Injection, pegfilgrastim-bmez (ZIEXTENZO), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $41.99 / $6,875.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $32.75 / $33.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.37 / $193.51 / $309.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $30.23 / $392.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $27.99 / $31.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $33.75