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Texas rates for HCPCS J2506

Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.76 / $203.48 / $9,742.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $90.24 / $98.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.64 / $512.88 / $1,023.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $22.62 / $22.62
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.34 / $201.02 / $5,048.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.87 / $1,843.87 / $1,843.87
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.79 / $641.79 / $641.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $127.76 / $1,302.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $84.37 / $161.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $89.34 / $129.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $89.34 / $96.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.45 / $99.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $120.61