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South Carolina rates for HCPCS J1442

Injection Filgrastim (G-Csf) Excludes Bio- Similiars 1 Microgram (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $4.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.01 / $1.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.29 / $2.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.25 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.25 / $2.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.06 / $1.11