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South Dakota rates for HCPCS 86756

Antibody; respiratory syncytial virus

Facilitymedian $30 · 10th–90th $14–$300%50%10th$30Professionalmedian $15 · 10th–90th $10–$380%20%10th90th$15$10.0$20.0$50.0

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 / $14.13 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $15.49
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
$15.14 / $19.95 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.12 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $14.45 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85