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South Carolina rates for HCPCS 90697

Dtap-Ipv-Hib-Hepb Vaccine Intramuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.10 / $200.82 / $254.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.01 / $164.59 / $207.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.60 / $187.04 / $224.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.60 / $187.04 / $222.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $136.84 / $191.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.69 / $180.21 / $187.09