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South Dakota rates for HCPCS 84403

Testosterone; total

Facilitymedian $85 · 10th–90th $47–$2880%10%10th90th$85Professionalmedian $24 · 10th–90th $18–$1410%10%10th90th$24$10.0$20.0$50.0$100.0$200.0$500.0

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 / $91.20 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $141.25
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $38.90
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $50.12 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $54.95 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $36.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $61.66 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70