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Washington rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.28 / $157.24 / $12,279.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $98.28 / $7,430.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $89.34 / $200.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $89.34 / $641.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $84.29 / $84.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $109.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $89.34 / $168.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $91.22 / $378.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $23.00 / $641.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $88.21 / $200.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $111.68