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South Dakota rates for HCPCS 90393

Vaccinia immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $34.67