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New Mexico rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $91.05 / $48,007.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $90.23 / $113.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $109.89 / $1,143.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.87 / $109.69 / $148.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.14 / $89.34 / $89.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34