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Minnesota 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 / $131.16 / $131.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $131.16 / $141.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.98 / $229.34 / $735.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $125.44 / $132.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.21 / $138.94 / $302.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $138.13 / $173.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $133.61 / $133.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $136.76 / $136.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.99 / $223.15 / $575.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $146.99 / $285.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $146.01 / $250.92