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South Carolina rates for HCPCS 90647

Hib Prp-Omp Vaccine 3 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.35 / $44.10 / $96.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.66 / $32.35 / $33.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $27.14 / $27.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.35 / $34.34 / $37.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $37.61 / $45.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.35 / $35.59 / $43.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.69 / $25.69 / $32.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $36.19 / $37.76