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South Carolina rates for HCPCS J1447

Injection Tbo-Filgrastim 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $1.14 / $1.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.85 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.35 / $1.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.31