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South Carolina rates for HCPCS 90670

Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $234.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $501.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $229.09 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $251.19 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $309.03