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South Carolina rates for HCPCS 90625

Cholera Vaccine Adult 1 Dose Live For Oral Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.33 / $297.33 / $297.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.50 / $297.33 / $297.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $10.95 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.48 / $326.48 / $326.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.48 / $326.48 / $326.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.33 / $330.00 / $401.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.40 / $276.75 / $358.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $345.29 / $349.80