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Indiana rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.73 / $2,366.78 / $14,375.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $90.24 / $90.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $178.68 / $236.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.93 / $89.34 / $126.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $133.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $102.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.64 / $89.34 / $135.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.45 / $119.34