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Missouri rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.25 / $2.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.03 / $1.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.70 / $3.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.21 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.99 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.30