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Missouri rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.12 / $2,717.30 / $14,488.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $90.23 / $136.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $151.88 / $320.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $111.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $167.39 / $641.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $58.40 / $73.00
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 / $90.23 / $136.24