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South Dakota rates for HCPCS 86684

Antibody; Haemophilus influenza

Facilitymedian $30 · 10th–90th $14–$1660%20%40%10th90th$30Professionalmedian $16 · 10th–90th $11–$1260%20%10th90th$16$10.0$20.0$50.0$100.0

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
$14.13 / $18.20 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $125.89
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $38.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $74.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.00 / $22.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $14.13 / $22.39
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85