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South Dakota rates for HCPCS 90656

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Facilitymedian $54 · 10th–90th $21$660%20%10th90th$54Professionalmedian $23 · 10th–90th $13$350%20%40%10th90th$23$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $53.70 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $34.67
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.91 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $33.11 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.44 / $26.92
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44