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Louisiana rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.32 / $204.40 / $13,810.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $89.34 / $99.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $21.98 / $32.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $21.98 / $22.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.87 / $1,843.87 / $1,843.87
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $135.16