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South Dakota rates for HCPCS 86759

Antibody; rotavirus

Facilitymedian $35 · 10th–90th $17$350%50%10th$35Professionalmedian $17 · 10th–90th $12$430%20%10th90th$17$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
$16.98 / $16.98 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $58.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $37.15 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.60 / $22.91
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20