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South Dakota rates for HCPCS 90632

Hepa Vaccine Adult Dose For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.79 / $73.79 / $76.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $73.79 / $100.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.54 / $89.91 / $91.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.23 / $114.86 / $199.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.79 / $92.11 / $92.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.97 / $86.59 / $97.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $82.45 / $107.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $80.76 / $80.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $93.43 / $95.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.68 / $72.68 / $72.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.68 / $72.68 / $72.68