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Missouri rates for HCPCS B4187

Omegaven, 10 g lipids

Facilitymedian $15 · 10th–90th $13$890%20%40%10th90th$15Professionalmedian $13 · 10th–90th $7$150%20%10th90th$13$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.12 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $43.65 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $11.48 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $11.48 / $21.88