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Mississippi rates for HCPCS Q5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.15 / $157.38 / $2,275.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $131.16 / $157.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $64.73 / $64.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.01 / $131.16 / $131.16
Cigna
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 / $181.74