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Wyoming rates for HCPCS Q5122

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $134.90 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $147.91