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South Dakota rates for HCPCS 90674

Cciiv4 Vaccine Preservative Free 0.5 Ml Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $30.57 / $30.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $30.57 / $34.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $34.84 / $43.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $51.66 / $83.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $37.59 / $37.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $42.04 / $42.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $41.71 / $52.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.17 / $34.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $37.59 / $38.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.10 / $30.10 / $30.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $30.10 / $30.10