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South Dakota rates for HCPCS 90669

Pneumococcal Vacc, Ped <5

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.13 / $100.13 / $125.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.17 / $105.17 / $181.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00