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South Dakota rates for HCPCS 90375

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.85 / $279.85 / $279.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.44 / $279.85 / $322.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.39 / $369.23 / $369.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.37 / $450.28 / $730.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.42 / $293.08 / $318.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.72 / $347.90 / $490.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.24 / $334.17 / $420.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.25 / $306.25 / $306.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.37 / $307.83 / $316.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.44 / $266.44 / $266.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.44 / $266.44 / $266.44