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Pennsylvania rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $2,963.25 / $8,826.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.26 / $7,914.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.39 / $96.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.72 / $92.72 / $92.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $89.34 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $85.58 / $1,200.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.23 / $3,201.25 / $12,691.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $102.74 / $4,117.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $89.34 / $89.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.16 / $135.16 / $156.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $135.16 / $156.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $163.49