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South Carolina rates for HCPCS 90648

Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $48.98 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $34.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.49 / $16.60