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Connecticut rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $15.91 / $107.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $17.62 / $21.61