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South Carolina rates for HCPCS Q5120

Injection, pegfilgrastim-bmez (ZIEXTENZO), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.84 / $2,163.98 / $8,856.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $31.84 / $80.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.66 / $408.25 / $500.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $319.01 / $407.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $30.32 / $30.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $30.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.84 / $38.21 / $392.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.01 / $390.01 / $390.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $33.75