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South Dakota rates for HCPCS 90685

Iiv4 Vacc Prsrv Free 0.25 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.36 / $19.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.36 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.05 / $22.05 / $27.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.68 / $32.72 / $53.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $25.06 / $25.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.94 / $28.43 / $31.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.94 / $31.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $25.06 / $25.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.11 / $19.11 / $19.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $19.11 / $19.11