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South Dakota rates for HCPCS 87276

Iaadi Inffluenza A Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $12.22 / $15.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $31.99 / $31.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $29.38 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $19.22 / $76.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $14.46 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.73 / $29.46 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $27.00 / $41.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $37.53 / $44.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $9.64 / $19.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07