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South Dakota rates for HCPCS 49500

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Reducible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.33 / $3,784.50 / $5,554.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.68 / $382.33 / $1,116.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.05 / $921.68 / $1,152.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.40 / $641.40 / $1,133.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.11 / $767.76 / $7,231.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.95 / $1,010.36 / $7,452.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.00 / $882.78 / $1,121.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.09 / $687.54 / $822.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.27 / $767.76 / $1,120.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.30 / $998.80 / $998.80