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Alaska rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $9.46 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $15.48 / $52.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $15.91 / $15.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.58 / $13.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $27.10 / $40.65