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Pennsylvania 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 / $2.31 / $1,512.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $2.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.19 / $3.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.41 / $1,335.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.09 / $3.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.38