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South Dakota rates for HCPCS Q2038

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $12.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.68 / $13.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.97 / $14.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.13 / $21.43 / $34.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $52.88 / $52.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $14.14 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $15.48 / $25.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.07 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $56.61 / $58.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $19.30 / $19.30