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South Carolina rates for HCPCS Q5110

Injection, filgrastim-aafi, biosimilar, (Nivestym), 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.17 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.89 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.74 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $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 / $0.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.30 / $0.34