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Massachusetts rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $4,701.95 / $24,556.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $92.92 / $122.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.41 / $239.43 / $641.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $545.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.86 / $114.00 / $243.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.57 / $92.27 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $185.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.80 / $6,742.75 / $22,633.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.79 / $641.79 / $641.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $545.53
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $109.46 / $298.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $545.53