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Washington, DC rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $11.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $29.48 / $39.84