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Illinois rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $169.74 / $10,826.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $90.23 / $3,343.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.11 / $4,838.24 / $27,399.44
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $327.10 / $819.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.14 / $116.14 / $116.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $119.44