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South Carolina rates for HCPCS 90740

Hepb Vaccine Dialysis/Immunsup Pat 3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.42 / $164.42 / $199.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.12 / $164.41 / $207.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $297.83 / $524.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $226.91 / $256.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.62 / $219.62 / $219.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.30 / $166.07 / $401.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $189.08 / $235.16