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South Dakota rates for HCPCS 90666

Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70