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South Dakota rates for HCPCS 90636

Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.83 / $134.83 / $134.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.15 / $134.83 / $169.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.38 / $127.64 / $157.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.62 / $192.81 / $369.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $145.66 / $145.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.19 / $136.09 / $150.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $136.81 / $178.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $134.83 / $134.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $145.66 / $149.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.43 / $132.43 / $132.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $132.43 / $132.43