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South Carolina rates for HCPCS 87425

Iaad Ia Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $19.16 / $135.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $10.45 / $10.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $58.59 / $169.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $24.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $34.74 / $95.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.53 / $17.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.85 / $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
$6.59 / $6.59 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $8.44 / $16.76