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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
$7.08 / $10.00 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $107.15 / $131.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $77.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $27.54 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $30.20 / $46.77
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.18 / $16.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $14.13 / $25.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $13.18 / $14.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.18 / $16.22