go back

Texas rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $14.13 / $14.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $14.13 / $14.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.05 / $217.79 / $412.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.34 / $98.05 / $98.05
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 / $150.34 / $150.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $16.29 / $20.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $14.98 / $16.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $16.29 / $38.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $13.47 / $16.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.91 / $20.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $21.99