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Oklahoma rates for HCPCS Q5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.04 / $142.60 / $242.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.65 / $141.65 / $141.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $195.43 / $307.95
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 / $142.60 / $392.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $134.25 / $146.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $139.03 / $146.01