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South Dakota rates for HCPCS 90472

Im Adm Prq Id Subq/Im Njxs Ea Vaccine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $28.54 / $80.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $29.86 / $37.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.24 / $26.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $24.49 / $32.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $21.24 / $28.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.24 / $34.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70