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South Dakota rates for HCPCS 90686

Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $63.27 / $85.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $21.01 / $28.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $22.76 / $28.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.53 / $31.14 / $54.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $24.59 / $24.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.84 / $27.49 / $29.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $27.28 / $34.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $22.35 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $24.59 / $25.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $19.73 / $19.73