go back

Hawaii rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.88 / $15.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $20.42