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Nebraska rates for HCPCS J2505

Injection, pegfilgrastim, 6 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,263.54 / $2,263.54 / $2,829.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,858.40 / $17,858.40 / $17,858.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,405.00 / $3,405.00 / $3,405.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,568.76 / $5,146.54 / $5,586.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,652.81 / $5,348.06 / $9,263.77