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South Dakota rates for HCPCS 90657

Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $13.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.14 / $11.14 / $13.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $15.99 / $30.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.85 / $11.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $22.94 / $28.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $13.11 / $32.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $11.04 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $11.14
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03