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South Carolina rates for HCPCS 90649

4vhpv Vaccine 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $163.24 / $192.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $163.24 / $205.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.88 / $261.70 / $463.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $197.81 / $230.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.39 / $179.39 / $179.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.24 / $179.56 / $220.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.47 / $157.47 / $196.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.98 / $189.73 / $197.98