go back

South Carolina rates for HCPCS 90694

Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.40 / $79.44 / $109.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.20 / $87.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.50 / $70.63 / $111.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $81.43 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $81.43 / $93.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $88.96