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South Dakota rates for HCPCS 90703

Tetanus Toxoid Adsorbed Intramuscular

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $56.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $48.27 / $48.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.92 / $38.92 / $49.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $26.75 / $26.75