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Nebraska rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $103.75 / $5,620.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $1,687.80 / $3,505.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $96.09 / $101.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $96.09 / $101.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $25.45 / $89.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $430.42 / $1,158.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $58.40 / $87.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.98 / $48.15 / $205.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $70.08 / $205.69
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 / $89.34 / $134.01