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South Dakota rates for HCPCS 90376

Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $660.69 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $537.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09