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South Dakota rates for HCPCS 84402

Testosterone; free

Facilitymedian $71 · 10th–90th $47–$2570%20%10th90th$71Professionalmedian $23 · 10th–90th $18–$910%10%20%10th90th$23$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
$46.77 / $72.44 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $91.20
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $38.02
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $54.95 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.78 / $51.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $35.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70