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Nebraska 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 / $1.08 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.00 / $2.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.08 / $1.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.20 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.88 / $457.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.99 / $1.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.47 / $2.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.23 / $2.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.19