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South Carolina rates for HCPCS 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $25.12 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.49 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $17.78 / $21.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $18.62 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.49 / $16.22