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Kansas rates for HCPCS Q5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.62 / $580.98 / $580.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $133.78 / $183.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.53 / $87.93 / $426.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.94 / $148.94 / $148.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.73 / $123.73 / $131.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.04 / $184.85 / $392.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $139.96 / $239.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $139.03 / $248.22