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South Dakota rates for HCPCS 90474

Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)

Facilitymedian $5 · 10th–90th $5–$70%50%90th$5Professionalmedian $23 · 10th–90th $5–$330%10%20%10th90th$23$5.0$10.0$20.0

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
$5.01 / $24.55 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $30.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $6.17 / $10.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $20.89 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.89 / $28.18