go back

Kentucky 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 / $1.00 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.18 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.10 / $1.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.05 / $1.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.00 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.11