go back

Maryland rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.51 / $21.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $11.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $19.55 / $24.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.52 / $39.84