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South Dakota rates for HCPCS 90673

Riv3 Vaccine Preservative Free For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.19 / $98.16 / $118.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $85.94 / $106.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.59 / $140.37 / $268.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $108.02 / $108.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.74 / $100.19 / $100.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $95.18 / $125.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $83.50 / $98.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.33 / $107.98 / $110.92
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $98.16 / $98.16