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Alaska rates for HCPCS J1442

Injection, filgrastim (G-CSF), excludes biosimilars, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.81 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.85 / $2.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.75 / $2.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $2.50 / $4.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.50 / $3.00