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South Carolina rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.12 / $156.97 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $156.97 / $196.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $69.48 / $157.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.96 / $111.32 / $133.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.37 / $172.37 / $172.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.48 / $156.97 / $211.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $153.90 / $176.99