go back

South Dakota rates for HCPCS 90716

Var Vaccine Live For Subcutaneous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.83 / $195.83 / $195.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.02 / $195.83 / $226.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.38 / $176.12 / $217.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.97 / $266.74 / $511.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $201.30 / $201.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $145.10 / $190.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.46 / $141.08 / $190.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.17 / $195.83 / $195.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.33 / $211.33 / $217.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.00 / $183.00 / $183.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $183.00