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South Carolina rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $15.51 / $15.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $17.10 / $22.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $17.05 / $40.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $13.55 / $18.29