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Virginia rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $10.19 / $15.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $20.36 / $24.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $15.52 / $16.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $15.91 / $25.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $15.91 / $25.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.91 / $22.63