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South Dakota rates for HCPCS G0009

Administration Of Pneumococcal Vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $48.10 / $55.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.78 / $31.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $72.43 / $86.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $13.71 / $22.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $25.58 / $53.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.14 / $37.65 / $53.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.14 / $37.65 / $50.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $25.36 / $51.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20