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Florida rates for HCPCS Q5122

Injection Pegfilgrastim-Apgf (Nyvepria) Biosimilar 0.5 Mg (Desc Revised 04/01/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.16 / $153.16 / $312.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $144.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.86 / $131.16 / $131.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
Florida Blue
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 / $131.16 / $146.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $132.04 / $132.04