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South Dakota rates for HCPCS Q2037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $20.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $17.52 / $19.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.63 / $31.47 / $51.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $20.48 / $20.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $17.96 / $22.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $20.13 / $30.94
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
$17.70 / $20.48 / $21.04