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South Dakota rates for HCPCS 90688

Iiv4 Vacc Split Virus 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $18.68 / $18.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $23.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $21.26 / $26.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $30.75 / $51.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $22.97 / $22.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $25.68 / $28.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $25.48 / $32.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $20.88 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $22.97 / $23.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44