go back

California rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $8.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $8.06 / $14.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.87 / $100.19 / $263.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $107.85 / $107.85
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $42.32 / $70.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $13.47 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $21.99 / $55.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.13 / $150.34 / $150.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $11.20 / $22.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $15.14 / $16.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $17.07 / $41.09