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South Carolina rates for HCPCS 90694

Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $72.44 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $70.79 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $81.28 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $93.33