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Washington, DC rates for HCPCS J2506

Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.69 / $1,752.86 / $6,451.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $85.82 / $145.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $84.29 / $89.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $75.94 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.45 / $94.70 / $131.22