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South Dakota rates for HCPCS 90648

Hib Prp-T Vaccine 4 Dose Schedule Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $34.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $14.75 / $15.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $23.74 / $48.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $14.62 / $22.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.02 / $39.39 / $46.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $39.89 / $52.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $13.30 / $23.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $14.62 / $15.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17