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Pennsylvania rates for HCPCS B4034

Enteral Feeding Supply Kit; Syringe 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
$2.74 / $2.74 / $3.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.03 / $13.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $3.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.03 / $13.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $4.98 / $8.47