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Parenteral Nutrition, 74 to 100 g of Protein, Premix

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

Rates data updated July 2026.

How much does Parenteral Nutrition, 74 to 100 g of Protein, Premix cost?

$457

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $398 to $537.

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 $550 · 10th to 90th $295 to $1,096Professionalmedian $457 · 10th to 90th $295 to $589
$5.0$20.0$100.0$500.0facility $550professional $457

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
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$407.38
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$407.38
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$389.05
Typical High
$645.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where South Dakota sits

The same service costs 2.9 times more in Montana than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $457 · 2nd of 51
MT $490DE $170

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.