go back

South Carolina rates for HCPCS 90747

Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.70 / $140.75 / $1,788.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $140.75 / $154.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.74 / $198.03 / $372.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $173.08 / $192.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.75 / $148.74 / $357.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $166.15 / $173.08