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Minnesota 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
$11.32 / $14.27 / $15.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.96 / $15.11 / $18.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $16.29 / $16.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.27 / $58.53 / $140.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.94 / $21.56 / $23.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $53.51 / $110.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $25.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $18.97 / $26.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $16.26 / $27.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $13.55 / $31.17