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South Carolina rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $55.41 / $120.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.17 / $47.64 / $60.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $33.40 / $33.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.53 / $33.92 / $41.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $53.53 / $64.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $52.40 / $64.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $32.86 / $41.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $51.44 / $53.68