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North Carolina rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.09 / $9,341.12 / $19,266.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $109.69 / $2,282.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.11 / $95.58 / $113.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $61.70 / $61.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $310.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $641.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $109.69 / $705.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.26 / $449.26 / $449.26
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 / $94.70 / $117.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.79 / $641.79 / $641.79