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Kentucky rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $9.15 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $12.09 / $15.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.44 / $86.40 / $86.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.68 / $23.68 / $23.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $19.46 / $31.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.57 / $116.57 / $116.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.52 / $78.52 / $78.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.28 / $18.97