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South Dakota rates for HCPCS B4187

Omegaven, 10 g lipids

Facilitymedian $15 · 10th–90th $15–$270%50%90th$15Professionalmedian $16 · 10th–90th $13–$230%20%10th90th$16$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $43.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $16.22 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $14.79 / $26.92