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Minnesota rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.03 / $1.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.44 / $2.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.99 / $0.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.23 / $3.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.19 / $1.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.94 / $3.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.10 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.11 / $1.85