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Parenteral Nutrition, 10 to 51 g of Protein, Premix

South Dakota rates for HCPCS B4189

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 g of protein, premix

Rates data updated July 2026.

How much does Parenteral Nutrition, 10 to 51 g of Protein, Premix cost?

$288

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $251 to $339.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $355 · 10th to 90th $186 to $692Professionalmedian $288 · 10th to 90th $186 to $372
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $355professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$257.04
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$257.04
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$245.47
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where South Dakota sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $288 · 2nd of 51
MT $316WV $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.