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South Carolina rates for HCPCS 87625

Iadna Human Papillomavirus Types 16 & 18 Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $85.35 / $179.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $31.63 / $45.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.06 / $106.82 / $215.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $42.17 / $64.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $99.90 / $231.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $22.80 / $65.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $42.11 / $60.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $22.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $23.88 / $40.60