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Michigan rates for HCPCS J2506

Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.19 / $96.62 / $7,725.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $92.02 / $3,343.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.56 / $687.36 / $1,300.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.76 / $314.48 / $314.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.75 / $163.75 / $163.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $134.01 / $7,725.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.15 / $89.34 / $464.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $67.16 / $102.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.45 / $114.37