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South Dakota rates for HCPCS 90473

Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.77 / $27.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.93 / $35.40 / $42.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $6.22 / $15.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $25.58 / $53.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.75 / $36.90 / $43.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $31.35 / $44.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.79 / $30.47 / $41.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $16.64 / $51.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $24.60 / $24.60