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South Dakota rates for HCPCS 90707

Measles Mumps Rubella Virus Vaccine Live Subq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.14 / $100.14 / $100.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $100.14 / $120.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $93.55 / $115.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.10 / $143.19 / $274.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $104.72 / $104.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.18 / $91.47 / $109.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.89 / $91.47 / $109.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.34 / $96.72 / $96.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $106.26 / $109.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.20 / $95.20 / $95.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $95.20 / $95.20