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South Dakota rates for HCPCS 80197

Tacrolimus

Facilitymedian $100 · 10th–90th $26–$2000%10%10th90th$100Professionalmedian $13 · 10th–90th $12–$1230%20%10th90th$13$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
$53.70 / $109.65 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $123.03
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $20.42
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $14.45
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
$13.18 / $21.88 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $12.30 / $19.05
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80