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Ohio rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $3,390.38 / $14,537.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.66 / $90.24 / $5,030.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.49 / $156.03 / $256.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $178.27
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.72 / $119.72 / $119.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $89.34 / $122.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $89.34 / $120.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.11 / $84.29 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $858.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $278.16 / $1,103.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $858.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $73.00 / $125.07
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 / $95.68 / $110.72