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South Dakota rates for HCPCS 87290

Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus

Facilitymedian $26 · 10th–90th $12–$260%20%40%10th$26Professionalmedian $12 · 10th–90th $8–$320%20%10th90th$12$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
$12.02 / $12.02 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $58.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $12.02 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49