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Maryland rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.20 / $5,399.17 / $9,913.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $89.34 / $90.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $89.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $113.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $577.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $131.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98