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South Carolina rates for HCPCS J2506

Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.81 / $13,236.39 / $18,838.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $93.81 / $112.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.01 / $538.26 / $857.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.92 / $460.79 / $646.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.29 / $84.29 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $103.19 / $641.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.55 / $318.55 / $318.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $99.45