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North Dakota 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 / $105.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $89.34 / $90.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.93 / $97.41 / $98.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $97.27 / $98.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.01 / $91.01 / $104.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $20.57 / $25.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $85.71 / $641.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $65.01 / $70.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.45 / $108.01