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Utah rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.64 / $7,311.29 / $14,577.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $103.64 / $103.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.37 / $28.28 / $47.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.17 / $130.66 / $318.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.87 / $89.34 / $99.45