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South Dakota rates for HCPCS 90650

Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.75 / $134.08 / $165.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.99 / $238.71 / $387.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $174.86 / $174.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.96 / $174.86 / $179.62