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Wyoming rates for HCPCS J2506

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.40 / $58.40 / $23,444.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $89.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.53 / $641.79 / $641.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $84.29 / $84.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $126.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $99.45