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Massachusetts rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $7.84 / $7.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $7.91 / $12.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $17.50 / $150.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.91 / $20.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.71 / $182.79 / $389.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $14.66 / $31.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.13 / $88.13 / $150.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.91 / $23.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $14.66 / $20.94