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South Carolina rates for HCPCS 90696

Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $137.40 / $174.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $66.56 / $83.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $52.76 / $52.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.69 / $72.05 / $78.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $74.79 / $89.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $70.36 / $70.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $74.79 / $89.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.82 / $50.82 / $63.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $73.26 / $76.58