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New York 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 / $1.21 / $2.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.00 / $13.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1,208.00 / $6,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.36
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00