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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
$134.19 / $134.19 / $134.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $134.19 / $158.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $177.04 / $182.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.45 / $190.55 / $358.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.74 / $143.72 / $157.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $171.86 / $256.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.88 / $156.80 / $219.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.86 / $146.86 / $146.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $147.61 / $151.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.66 / $130.66 / $130.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $130.66 / $130.66