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South Carolina rates for HCPCS 90634

Hepa Vaccine 3 Dose Schedule Ped/Adolesc Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $31.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.18 / $91.85 / $100.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $33.83 / $41.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $29.14