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South Dakota rates for HCPCS 80169

Everolimus

Facilitymedian $20 · 10th–90th $12–$260%20%40%10th90th$20Professionalmedian $14 · 10th–90th $9–$380%10%20%10th90th$14$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $79.43
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $18.20 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.55 / $18.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $9.55 / $18.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80