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California rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.98 / $4.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.60 / $3.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.00 / $2.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.19 / $2.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.20 / $2.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.10 / $1.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $2.06