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South Dakota rates for HCPCS G0009

Administration of pneumococcal vaccine

Facilitymedian $48 · 10th–90th $10–$550%20%40%10th90th$48Professionalmedian $21 · 10th–90th $5–$340%10%20%10th90th$21$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $47.86 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $19.50 / $33.11
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $89.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $13.80 / $22.39
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
$26.30 / $26.30 / $26.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $30.90 / $51.29