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Oregon rates for HCPCS Q5122

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

Facilitymedian $166 · 10th–90th $132–$3240%20%10th90th$166Professionalmedian $132 · 10th–90th $132–$1860%50%90th$132$100.0$200.0$500.0$1.0K

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
$131.83 / $269.15 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $199.53 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $309.03 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $186.21
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $144.54 / $269.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $281.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $275.42 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $147.91