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South Dakota rates for HCPCS 90716

Varicella virus vaccine (VAR), live, for subcutaneous use

Facilitymedian $191 · 10th–90th $191–$2090%50%90th$191Professionalmedian $191 · 10th–90th $162–$2240%20%10th90th$191$100.0$200.0$500.0

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
$194.98 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $223.87
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $199.53 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $208.93 / $229.09
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55