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South Dakota rates for HCPCS 90474

Im Adm Intransl/Oral Ea Vaccine

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 / $5.00 / $32.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $30.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $6.22 / $10.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.24 / $26.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $24.04 / $27.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $21.42 / $32.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $20.43 / $23.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $12.76 / $26.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $17.70