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Iowa rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $11.32 / $15.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.92 / $19.55 / $22.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $17.88 / $34.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $19.55 / $23.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $20.94 / $34.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.52 / $22.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29