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South Carolina rates for HCPCS 90716

Var Vaccine Live For Subcutaneous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.50 / $195.83 / $312.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.03 / $195.83 / $225.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.24 / $124.24 / $124.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.85 / $168.62 / $300.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.74 / $230.39 / $276.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.17 / $215.17 / $215.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.67 / $215.41 / $264.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.43 / $179.95 / $236.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $220.94 / $230.39