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Indiana 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
$0.99 / $2.40 / $4.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.00 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.11 / $1.24