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South Carolina rates for HCPCS 90656

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $70.79 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.44 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.44 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $19.50 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $24.55 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $64.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $25.12