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South Dakota rates for HCPCS B4168

Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.84 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $50.12 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $36.31 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $34.67 / $57.54