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South Dakota rates for HCPCS B4034

Enteral Feeding Supply Kit; Syringe Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.53 / $4.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.53 / $5.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.55 / $5.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $7.37 / $9.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $4.01 / $7.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $6.63 / $7.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $7.72 / $12.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.23 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $3.69 / $9.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03