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Idaho rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $14.27 / $14.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $15.13 / $20.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $16.29 / $17.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $16.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $15.77 / $23.09