go back

South Dakota rates for HCPCS 84439

Thyroxine; free

Facilitymedian $76 · 10th–90th $32–$1910%5%10%10th90th$76Professionalmedian $11 · 10th–90th $7–$850%10%10th90th$11$5.0$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
$33.88 / $75.86 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $89.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $13.49
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.12 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $60.26 / $154.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.37 / $14.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.89 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $8.13 / $12.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12