go back

Oklahoma rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.07 / $4,590.00 / $16,788.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.49 / $96.49 / $99.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.38 / $683.91 / $1,077.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $84.29 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $66.22 / $641.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $58.40 / $65.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $99.45