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South Dakota rates for HCPCS B5000

Parenteral Nutrition Solution Compounded Amino Acid Carbohydrates With Electrolytes Trace Elements And Vitamins Including Preparation Anystrength Renal-Aminosyn-Rf Nephramine Renamine-Premix (Revised 01/01/2016) I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.42 / $16.42 / $16.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $16.42 / $16.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $20.07 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $23.48 / $28.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $16.50 / $28.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $19.25 / $22.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $21.05 / $36.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $17.25 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $6.74 / $28.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.25 / $17.25