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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

Facilitymedian $18 · 10th–90th $12–$410%10%20%10th90th$18Professionalmedian $16 · 10th–90th $16–$180%50%90th$16$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $25.12 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $17.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $16.98