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Michigan rates for HCPCS Q5122

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

Facilitymedian $302 · 10th–90th $138–$3,0200%10%10th90th$302Professionalmedian $135 · 10th–90th $132–$1780%50%10th90th$135$100.0$200.0$500.0$1.0K$2.0K

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
$138.04 / $380.19 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $134.90 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $295.12 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $380.19 / $426.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $138.04 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $147.91 / $169.82