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South Carolina rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $286.06 / $735.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.20 / $261.14 / $329.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $261.14 / $261.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $288.60 / $346.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $287.27 / $644.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $264.68 / $288.60