go back

South Dakota rates for HCPCS 90746

Hepb Vaccine Adult 3 Dose Schedule For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.53 / $125.58 / $206.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $77.41 / $112.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $80.88 / $89.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $100.64 / $192.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $78.20 / $78.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.95 / $84.45 / $99.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $81.02 / $105.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $73.53 / $73.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $79.45 / $86.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.38 / $70.38 / $70.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $70.38 / $70.38