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Idaho rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $1.25
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.33 / $1.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.25 / $1.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.50 / $2.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.11