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South Dakota rates for HCPCS 90689

Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $164.00 / $164.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $41.94 / $41.94