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Texas 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 / $1.75 / $3.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.01 / $1.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.52 / $5.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.63 / $457.63 / $457.63
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.43 / $1.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.00 / $1.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.00 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.11 / $1.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.35