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South Carolina rates for HCPCS 90651

Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.34 / $383.76 / $553.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.02 / $335.55 / $409.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.99 / $208.99 / $208.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.11 / $256.50 / $405.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.39 / $394.76 / $470.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $368.58 / $368.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.55 / $369.11 / $452.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $323.70 / $404.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.09 / $378.45 / $394.91