go back

South Dakota rates for HCPCS 90371

Hepatitis B immune globulin (HBIg), human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $190.55 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $144.54 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $194.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90