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Maine rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $893.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.04 / $1.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.21 / $3.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $893.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.09 / $1.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.50