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South Carolina rates for HCPCS 90658

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

Facilitymedian $19 · 10th–90th $9–$360%10%20%10th90th$19Professionalmedian $22 · 10th–90th $16–$300%50%10th90th$22$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
$18.62 / $21.88 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.88 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $15.85 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $38.02 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $26.30