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South Dakota rates for HCPCS B5100

Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic-HepatAmine-premix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.95 / $9.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $9.17 / $11.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $6.44 / $11.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.52 / $8.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $8.65 / $14.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.74 / $8.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.05 / $15.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74