go back

South Dakota rates for HCPCS 87804

Iaadiadoo Influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $112.53 / $352.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $24.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $33.29 / $33.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $30.03 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.86 / $19.22 / $78.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $19.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $30.35 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $30.35 / $43.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $38.65 / $45.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $21.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $16.55 / $16.55