go back

South Dakota rates for HCPCS B4185

Parenteral nutrition solution, not otherwise specified, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.94 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $22.18 / $26.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $15.59 / $27.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $18.19 / $20.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.89 / $19.96 / $34.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $16.29 / $21.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.13 / $27.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29