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South Carolina rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.11 / $7,217.66 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $6,725.88 / $12,485.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $670.45 / $2,221.46
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.25 / $66.25 / $66.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.62 / $766.67 / $1,181.02
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,133.06 / $1,159.26 / $1,588.70
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$151.07 / $154.57 / $211.83
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.75 / $108.20 / $148.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $12,269.00 / $19,591.00