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South Dakota rates for HCPCS 90756

Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use

Facilitymedian $29 · 10th–90th $28–$290%50%10th$29Professionalmedian $29 · 10th–90th $28–$410%20%40%10th90th$29$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $40.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $37.15
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84