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South Dakota rates for HCPCS 90651

Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.55 / $374.36 / $614.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.54 / $335.55 / $382.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.63 / $290.50 / $359.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.01 / $448.49 / $859.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $338.37 / $338.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.85 / $318.85 / $318.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.85 / $318.85 / $318.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.55 / $335.55 / $335.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.00 / $362.00 / $371.87
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.61 / $307.61 / $307.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.61 / $307.61 / $307.61