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Montana rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Facilitymedian $117 · 10th–90th $35$46,7740%20%40%10th90th$117Professionalmedian $191 · 10th–90th $123$3,3110%20%10th90th$191$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $239.88 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $1,318.26 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $128.82 / $128.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $154.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $154.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03