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Chickenpox and Shingles Immune Globulin

South Dakota rates for HCPCS 90396

An injection of ready-made antibodies against the chickenpox and shingles virus, given into a muscle to protect someone who has been exposed and cannot rely on their own immunity. It gives immediate but short-lived protection and is used for people at high risk of severe illness, such as newborns, pregnant women and those with weakened immune systems. The charge covers the antibody product; giving the injection is billed separately.

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $2,399$2,8840%50%90th$2,399Professionalmedian $2,455 · 10th–90th $2,188$2,7540%20%40%10th90th$2,455$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,311.31
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$2,570.40
Typical High
$2,570.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$2,884.03
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83