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South Dakota rates for HCPCS Q2035

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $19.20 / $19.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $19.20 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.91 / $32.45 / $52.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $28.31 / $28.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $16.98 / $25.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $19.54 / $25.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.61 / $23.49 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $28.31 / $29.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $19.96 / $19.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $19.96 / $19.96