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South Carolina rates for HCPCS Q5125

Injection, filgrastim-ayow, biosimilar, (Releuko), 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.94 / $1.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.62 / $0.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.47 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.40 / $0.42