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Minnesota rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $116.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.26 / $3,343.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.96 / $74.95 / $102.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $55.48 / $58.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.94 / $92.65 / $113.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.57 / $25.86 / $42.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.02 / $91.01 / $91.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $20.36 / $91.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $582.64 / $969.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $65.01 / $108.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.45 / $170.92