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South Carolina rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $27.96 / $27.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $27.96 / $32.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $26.62 / $33.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $33.54 / $66.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $27.31 / $34.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62