go back

South Dakota rates for HCPCS 86774

Antibody; tetanus

Facilitymedian $17 · 10th–90th $13$280%20%40%10th90th$17Professionalmedian $13 · 10th–90th $10$350%20%10th90th$13$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
$12.88 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $22.91 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.23 / $20.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79