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Iowa rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.08 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.04 / $1.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.08 / $1.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.10 / $1.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.47 / $2.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.20 / $2.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.03 / $1.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99