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South Dakota rates for HCPCS 90473

Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)

Facilitymedian $5 · 10th–90th $5–$150%50%90th$5Professionalmedian $17 · 10th–90th $3–$420%20%10th90th$17$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $16.22 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $35.48 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $15.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $28.18 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $25.70 / $51.29