go back

Utah rates for HCPCS B4187

Omegaven, 10 Grams Lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $16.94 / $19.14