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Wisconsin rates for HCPCS J2505

Injection, pegfilgrastim, 6 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,110.02 / $4,776.50 / $4,954.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,973.26 / $5,439.25 / $7,709.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.44 / $6,907.52 / $7,849.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,858.40 / $17,858.40 / $17,858.40