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South Dakota rates for HCPCS B4224

Parenteral Nutrition Administration Kit Per Day (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.52 / $34.52 / $34.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $34.52 / $35.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.42 / $52.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $50.65 / $97.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $34.68 / $60.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $40.46 / $46.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $45.45 / $76.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $36.27 / $48.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $18.10 / $60.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $32.64 / $32.64