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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $28.97 / $28.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $28.96 / $36.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.96 / $32.96 / $41.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.08 / $41.62 / $79.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $35.61 / $35.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $40.17 / $40.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.35 / $39.82 / $72.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $32.38 / $32.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $35.61 / $36.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $28.52