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South Dakota rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Facilitymedian $60 · 10th–90th $17–$930%20%10th90th$60Professionalmedian $14 · 10th–90th $10–$780%10%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
$16.60 / $60.26 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $77.62
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $21.38
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $23.99 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.00 / $19.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.88 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $19.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13