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South Dakota rates for HCPCS 90611

Smallpox&Monkeypox Vacc 0.5ml Dos For Subq Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $302.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $272.70 / $337.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $465.43 / $754.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $272.07 / $297.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.39 / $275.39 / $275.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.07 / $272.07 / $279.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00