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Maine rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.27 / $5,339.65 / $12,900.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $90.23 / $99.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.45 / $108.52 / $283.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $108.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.27 / $4,014.55 / $14,072.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $92.92 / $122.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $134.01