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South Dakota rates for HCPCS 87451

Iaad Ia Polyv Mlt Organisms Ea Polyv Antiserum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $9.88 / $9.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $9.88 / $9.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $18.93 / $23.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $15.38 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.46 / $19.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $19.55 / $32.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $21.32 / $27.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $24.54 / $28.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $6.71 / $12.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $10.51 / $10.51