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South Dakota rates for HCPCS B4035

Enteral Feeding Supply Kit; Pump Fed Per Day Includes But Not Limited To Feeding/Flushing Syringe Administration Set Tubing Dressings Tape

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $8.30 / $8.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $8.30 / $10.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.95 / $9.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $14.09 / $18.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $6.95 / $13.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $12.24 / $14.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $14.26 / $24.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $7.52 / $8.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $6.68 / $12.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $11.13 / $11.13