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Pennsylvania rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $38.02 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.23 / $1.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.27 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $38.02 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.23 / $1.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.46