go back

South Dakota rates for HCPCS 90710

Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $407.38 / $776.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $346.74
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40