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New York rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $10.63 / $11.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.85 / $12.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $107.85 / $148.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $78.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $34.21 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $29.32 / $45.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $12.41 / $12.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $13.31 / $14.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $15.22 / $27.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $14.91 / $21.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.16 / $13.16
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $13.31 / $13.31