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Hawaii rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.98 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.04 / $1.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.20 / $1.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.18 / $1.50
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.19 / $1.26