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Arizona rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.10 / $2,531.81 / $6,544.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $112.56 / $7,914.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.21 / $75.33 / $417.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $46.72 / $568.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.08 / $77.09 / $641.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $64.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $125.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34