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South Dakota rates for HCPCS 90759

Hep B Vacc 3 Ag 10 Mcg 3 Dose Sched For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $73.81 / $73.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $73.81 / $82.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $175.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $106.04 / $202.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $81.20 / $81.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.58 / $88.58 / $113.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $88.58 / $113.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $66.05 / $66.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $81.20 / $83.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.81 / $73.81 / $73.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $73.81 / $73.81