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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
$3.98 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $9.55 / $21.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $5.50 / $9.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.75 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $5.50 / $10.00