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Arkansas rates for HCPCS Q5122

Injection, pegfilgrastim-apgf (Nyvepria), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.38 / $158.44 / $2,275.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $132.46 / $157.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.04 / $148.04 / $148.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.43 / $148.04 / $148.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.73 / $131.16 / $349.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $139.03 / $333.63