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Washington, DC 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
$1.00 / $3.09 / $489.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.55 / $2.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.11 / $1.47