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Oklahoma rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $14.27 / $14.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $14.98 / $150.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $17.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $13.55 / $17.07