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South Carolina rates for HCPCS Q5110

Injection Filgrastim-Aafi Biosimiliar (Nevestym) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $1.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.94 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.75 / $0.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.33