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South Dakota rates for HCPCS B4105

In-line cartridge containing digestive enzyme(s) for enteral feeding, each

Facilitymedian $263 · 10th–90th $219–$4270%20%40%10th90th$263Professionalmedian $182 · 10th–90th $148–$2290%20%40%10th90th$182$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91