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Ohio rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $12.09 / $110.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $12.09 / $15.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $86.40 / $125.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.92 / $17.92 / $21.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $17.10 / $17.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $22.43