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South Dakota rates for HCPCS 90630

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $22.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00