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South Dakota rates for HCPCS 87807

Iaadiadoo Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $12.31 / $12.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $26.11 / $26.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.50 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $19.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $11.79 / $24.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $24.43 / $41.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $26.63 / $34.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $31.56 / $35.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.38 / $15.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.10 / $13.10