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Kansas 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
$11.79 / $15.51 / $15.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $69.77 / $69.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.79 / $15.51 / $88.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $14.09 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $23.04