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Texas rates for HCPCS B4187

Omegaven, 10 g lipids

Facilitymedian $195 · 10th–90th $14–$4170%5%10th90th$195Professionalmedian $14 · 10th–90th $10–$150%50%10th90th$14$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $218.78 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $20.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $20.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.13 / $19.50