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Michigan 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
$1.01 / $1.03 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.03 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.24 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.97 / $0.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.26 / $2.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.11 / $1.28