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Tennessee rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $2,511.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $21.38 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $128.82 / $389.05