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South Dakota rates for HCPCS 86790

Antibody; virus, not elsewhere specified

Facilitymedian $65 · 10th–90th $13–$1410%20%40%10th90th$65Professionalmedian $13 · 10th–90th $9–$250%20%10th90th$13$10.0$20.0$50.0$100.0$200.0

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
$14.79 / $64.57 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $23.44
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.18 / $19.50
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
$12.02 / $19.95 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.76 / $18.20
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