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Indiana rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $15.51 / $17.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $15.51 / $15.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $166.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $86.40 / $116.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $17.53 / $24.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $17.53 / $19.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.05 / $114.05 / $114.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $21.68