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South Dakota rates for HCPCS B4036

Enteral Feeding Supply Kit; Gravity 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
$6.11 / $6.11 / $6.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $6.11 / $7.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.06 / $7.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $9.66 / $13.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $5.50 / $9.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $8.82 / $10.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $10.26 / $16.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.81 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $5.16 / $10.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02