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South Carolina rates for HCPCS 90647

Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $43.65 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $32.36 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.92 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $34.67 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.81 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.02 / $43.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $38.02