go back

South Dakota rates for HCPCS 86774

Antibody Tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $17.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $13.32 / $13.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $26.76 / $33.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.19 / $23.73 / $162.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $13.32 / $30.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $30.14 / $46.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $32.89 / $42.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.17 / $34.56 / $40.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $10.35 / $17.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $14.80 / $14.80