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Utah rates for HCPCS J1442

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $2.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.41 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.02 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.11