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Arizona rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $323.59 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $239.88 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $13.18 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.13 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $22.39