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Washington, DC rates for HCPCS Q5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.16 / $411.97 / $501.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $133.66 / $209.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.73 / $123.73 / $131.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.49 / $111.49 / $131.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.85 / $139.03 / $192.65