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South Carolina rates for HCPCS 87420

Iaad Ia Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $67.31 / $263.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $11.10 / $20.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $67.45 / $131.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $38.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $40.32 / $82.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $9.22 / $20.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $14.61 / $23.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $16.41 / $22.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $11.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $13.91 / $13.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.35 / $16.76