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Idaho rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $10,625.91 / $16,350.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $99.26 / $4,117.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $84.29 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.28 / $118.38 / $3,449.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $111.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.64 / $94.40 / $200.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.62 / $107.21 / $107.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $125.08