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Ohio rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
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
$21.88 / $87.10 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $22.91 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $13.49 / $22.91