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North Carolina rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.12 / $2.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.01 / $1.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.20 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.19 / $1.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00