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South Dakota rates for HCPCS 90735

Japanese Encephalitis Virus Vaccine Subcutaneous

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $112.50 / $140.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.56 / $115.56 / $115.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.28 / $112.28 / $198.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $32.63 / $32.63