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South Dakota rates for HCPCS 90661

Cciiv3 Vaccine Preservative Free 0.5 Ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.46 / $49.50 / $75.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $49.50 / $59.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $37.90 / $46.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.51 / $76.72 / $135.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $47.89 / $49.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.22 / $44.22 / $44.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $42.43 / $55.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $36.85 / $49.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $47.89 / $49.20
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.50 / $49.50 / $49.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $49.50 / $49.50