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South Carolina rates for HCPCS Q5101

Inj Filgrastim Gcsf Biosimil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2,793.80 / $8,837.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.46 / $0.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $33.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.22 / $1.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.94 / $1.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.57 / $1.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.49 / $0.51