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New Jersey rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $7.96 / $7.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $8.06 / $14.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.24 / $97.10 / $97.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.31 / $21.99