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South Dakota rates for HCPCS Q2036

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.68 / $7.68 / $29.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.33 / $10.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $15.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $20.65 / $20.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $10.82 / $23.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $20.65 / $21.21