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Virginia 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 / $2.09 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.51 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.07 / $1.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.12 / $1.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.12 / $1.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.00 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $1.29