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Arkansas rates for HCPCS J1442

Injection Filgrastim (G-Csf) Excludes Bio- Similiars 1 Microgram (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.20 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.17 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.28