go back

North Carolina rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $14.27 / $14.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $14.27 / $14.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $24.17 / $29.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $12.22 / $13.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $14.27 / $19.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $15.58 / $34.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.13 / $88.13 / $150.79