go back

South Dakota rates for HCPCS 90700

Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $31.20 / $70.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $31.20 / $40.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $31.98 / $36.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.06 / $44.62 / $85.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $32.99 / $32.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $36.17 / $39.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $37.25 / $48.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $42.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $32.99 / $33.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.59 / $29.59 / $29.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $29.59 / $29.59