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South Dakota rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $58 · 10th–90th $19$1700%10%10th90th$58Professionalmedian $19 · 10th–90th $10$1480%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.50 / $60.26 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.49 / $147.91
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.18 / $19.50
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.41 / $15.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.20 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $11.48 / $18.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88