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North Dakota rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.51 / $15.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.23 / $15.35 / $18.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $20.39 / $36.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.16 / $25.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $13.55 / $25.44