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Arkansas rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $11.78 / $11.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $13.80 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.19 / $95.19 / $95.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.19 / $95.19 / $95.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $20.60