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South Carolina rates for HCPCS Q2039

Influenza Virus Vaccine Not Otherwise Specified (Desc Rvsd 1/1/17) Older For Intramuscular Use (Not Otherwise Specified)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $55.00 / $55.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $50.38 / $128.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $18.25 / $22.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $13.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $34.08 / $37.24