go back

Illinois 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
$11.32 / $13.03 / $15.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $124.08 / $248.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.27 / $23.04