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South Dakota rates for HCPCS B5000

Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal - Amirosyn RF, NephrAmine, RenAmine - premix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $23.44 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $17.38 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $16.60 / $27.54