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South Dakota rates for HCPCS 90660

Laiv3 Vaccine Live For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $29.71 / $29.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $29.71 / $37.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $29.44 / $36.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $42.92 / $81.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $27.98 / $29.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.67 / $34.65 / $36.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $34.65 / $41.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $28.87 / $29.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.98 / $27.98 / $31.28
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $29.71 / $29.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $29.71 / $29.71