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South Carolina rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.30 / $98.16 / $106.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $98.15 / $123.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $105.52 / $105.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.16 / $32.29 / $87.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.93 / $103.33 / $122.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.88 / $107.98 / $212.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.39 / $72.06 / $105.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $86.23 / $103.33