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Missouri rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.79 / $13.49 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.79 / $13.49 / $15.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $9.07 / $19.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.79 / $43.58 / $150.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $11.52 / $21.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $11.52 / $26.75