go back

South Dakota rates for HCPCS B4216

Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $10.66 / $10.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $10.66 / $10.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.26 / $16.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.49 / $15.64 / $29.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $10.70 / $18.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $12.49 / $14.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.39 / $23.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $11.20 / $14.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.38 / $24.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $11.20 / $11.20