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South Carolina rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $31.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $24.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $35.38 / $63.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $29.25 / $35.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $29.25 / $33.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $27.89 / $34.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $31.96