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South Dakota rates for HCPCS 90736

Zoster Vaccine Hzv Live For Subcutaneous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.92 / $216.92 / $216.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.91 / $216.92 / $238.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $215.13 / $266.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.20 / $366.59 / $594.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.94 / $240.96 / $240.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.11 / $228.49 / $251.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.89 / $237.90 / $310.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $160.13 / $160.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.96 / $240.96 / $247.53