go back

Georgia rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $13.31 / $19.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.58 / $15.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $13.58 / $31.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $131.94 / $257.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $100.00 / $123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $16.94 / $27.10