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Rhode Island rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.36 / $13,071.60 / $46,209.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $90.23 / $92.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $58.40 / $545.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $99.45