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South Dakota rates for HCPCS 90682

Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.67 / $65.67 / $65.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.67 / $65.67 / $78.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $74.78 / $93.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.26 / $110.98 / $179.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.26 / $80.73 / $80.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.28 / $91.07 / $92.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $90.28 / $159.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $73.41 / $73.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.26 / $80.73 / $82.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.51 / $64.51 / $64.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $64.51 / $64.51