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South Dakota rates for HCPCS B4197

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 g of protein - premix

Facilitymedian $389 · 10th–90th $380–$6760%50%10th90th$389Professionalmedian $398 · 10th–90th $282–$5890%10%10th90th$398$5.0$20.0$100.0$500.0

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
$295.12 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $588.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $407.38 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $407.38 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $389.05 / $645.65