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Wisconsin rates for HCPCS Q5120

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

Facilitymedian $427 · 10th–90th $39$8,9130%10%10th90th$427Professionalmedian $120 · 10th–90th $107$3550%50%10th90th$120$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $3,715.35 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $257.04 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $199.53 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $141.25 / $245.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.90 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $64.57 / $120.23
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $371.54 / $371.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $117.49 / $190.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $1,513.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $131.83 / $173.78