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Maine rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $14.66 / $17.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $18.97 / $23.71