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South Carolina rates for HCPCS 91304

Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.92 / $191.92 / $191.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $191.92 / $199.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.04 / $191.92 / $239.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.55 / $188.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.04 / $211.11 / $410.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $185.19 / $202.02