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South Dakota rates for HCPCS B4180

Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.69 / $33.69 / $33.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $33.69 / $34.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $41.28 / $51.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $49.44 / $94.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $33.84 / $59.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.83 / $39.47 / $45.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $44.33 / $74.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $35.40 / $46.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $26.45 / $59.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40