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South Dakota rates for HCPCS 90710

Measles Mumps Rubella Varicella Vacc Live Subq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.44 / $294.44 / $294.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $294.43 / $359.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $323.87 / $337.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.31 / $404.99 / $776.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.48 / $305.98 / $305.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.99 / $305.18 / $363.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.61 / $300.48 / $554.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $294.44 / $294.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.08 / $318.08 / $326.76
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.16 / $278.16 / $278.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.16 / $278.16 / $278.16