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South Dakota rates for HCPCS Q2039

Influenza Virus Vaccine Not Otherwise Specified (Desc Rvsd 1/1/17) Older For Intramuscular Use (Not Otherwise Specified)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $47.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $28.04 / $45.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $35.61 / $35.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $23.20 / $23.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $35.61 / $42.73