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Tennessee rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $23.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $13.58 / $15.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.13 / $150.79 / $150.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $14.91 / $27.78