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Alaska rates for HCPCS B4161

Enternal Formula For Pediatrics Hydrolyzed/Amino Acids And Peptide Chain

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74