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South Dakota rates for HCPCS 90744

Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.67 / $31.67 / $31.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $31.67 / $50.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.76 / $40.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $45.29 / $86.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.44 / $31.44 / $31.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $38.01 / $41.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $35.42 / $46.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $29.71 / $56.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.52 / $32.19 / $33.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.67 / $31.67 / $31.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $31.67 / $31.67