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Arizona rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.71 / $426.70 / $657.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.43 / $109.71 / $799.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $13.04 / $88.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $14.23 / $24.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $14.28 / $24.85